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DR. ANGELIA SIDARTA D.O.
NPI 1790731776
Family Medicine in Brea, CA

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
500 W CENTRAL AVE, SUITE B, BREA, CA 92821(714) 671-0766(714) 257-6132 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2021, Oct 21, 2020, Sep 25, 2018 (3 updates tracked since 2018).

About Dr. Angelia Sidarta D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANGELIA SIDARTA D.O. (NPI 1790731776) is an individual family medicine provider in Brea, California, licensed in California (20A7501) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1790731776
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANGELIA SIDARTACredential: D.O.
Location Address500 W CENTRAL AVE, SUITE BBrea, CA 92821-3027
Mailing Address500 W Central Ave Ste BBrea, CA 92821-3036
Phone(714) 671-0766
Fax(714) 257-6132
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 25, 2006
Last NPPES UpdateNovember 10, 20213 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1790731776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A7501
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
500 W CENTRAL AVE, Brea, CA 92821
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Angelia Sidarta D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719953611
PECOS Enrollment IDI20040902000388
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
260 services157 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
89 services89 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services20 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
22 services22 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92821 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims35 services$5.09 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$66.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELEENA KEPHART
Occupational Therapist
500 W CENTRAL AVE, SUITE B
BREA, CA 92821
Orange County (714) 323-4216
RODOLFO PEREZ M.D.
Family Medicine
500 W CENTRAL AVE, SUITE B
BREA, CA 92821
Orange County (714) 671-0768
ASHLEY GIZEL G PEKSON
Occupational Therapy Assistant
500 W CENTRAL AVE
BREA, CA 92821
Orange County (714) 529-5022
GARVIN CHU M.D.
Family Medicine
500 W CENTRAL AVE, SUITE B
BREA, CA 92821
Orange County (714) 449-4800
JULIA BARNES MA, OTR/L
Occupational Therapist
500 W CENTRAL AVE
BREA, CA 92821
Orange County (714) 529-5022
ALLISON KINTZLE SPA
Specialist/Technologist (Speech-Language Assistant)
500 W CENTRAL AVE
BREA, CA 92821
Orange County (714) 529-5022
RANDY SCOTT ADARGO COTA/L
Psychologist (Rehabilitation)
500 W CENTRAL AVE
BREA, CA 92821
Orange County (626) 825-8551
ZSANIELLE MONCAYO
Occupational Therapist
500 W CENTRAL AVE
BREA, CA 92821
Orange County (714) 529-5022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelia Sidarta's NPI number?

The NPI number for Angelia Sidarta is 1790731776. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Angelia Sidarta located?

Angelia Sidarta practices at 500 W Central Ave Suite B, Brea, CA 92821. The listed phone number is (714) 671-0766.

What is Angelia Sidarta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Angelia Sidarta enrolled in Medicare?

Yes. Angelia Sidarta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angelia Sidarta was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.