1. Home
  2. Directory
  3. California
  4. Newport Beach
  5. Pharmacist
  6. NPI Profile

MICHELLE GANDAWIDJAJA
NPI 1871448795
Pharmacist in Newport Beach, CA

Active since March 04, 2026
1 HOAG DR, NEWPORT BEACH, CA 92663(949) 764-4624 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle Gandawidjaja NPPES

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

MICHELLE GANDAWIDJAJA (NPI 1871448795) is an individual pharmacist in Newport Beach, California, licensed in California (82814) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1871448795
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMICHELLE GANDAWIDJAJA
Location Address1 HOAG DRNewport Beach, CA 92663-4162
Mailing Address272 NovelIrvine, CA 92618-1792
Phone(949) 764-4624
Sole ProprietorNo
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1871448795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 82814
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1 HOAG DR, Newport Beach, CA 92663
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DR. JACK MIN KAN M.D.
Anesthesiology
1 HOAG DR, DEPT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Orange County (858) 565-9666
DR. MICHAEL GRAY MD
Hospitalist
1 HOAG DR
NEWPORT BEACH, CA 92663
Orange County (949) 610-7245
DR. ANDY YEN-TANG LEE MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1 HOAG DR
NEWPORT BEACH, CA 92663
Orange County (949) 764-8135
KELLY GREENSTREET RD
Dietitian, Registered
1 HOAG DR
NEWPORT BEACH, CA 92663
Orange County (949) 764-8205
AMY KWAN MD
Hospitalist
1 HOAG DR
NEWPORT BEACH, CA 92663
Orange County (949) 873-6181
BRIAN KONG M.D.
Hospitalist
1 HOAG DR
NEWPORT BEACH, CA 92663
Orange County (949) 610-7245
CAPELLA TONG RD
Dietitian, Registered
1 HOAG DR
NEWPORT BEACH, CA 92663
Orange County (949) 764-8205
KYOUNG JIN LEE PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 HOAG DR
NEWPORT BEACH, CA 92663
Orange County (949) 764-4624

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 Michelle Gandawidjaja's NPI number?

The NPI number for Michelle Gandawidjaja is 1871448795. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Michelle Gandawidjaja located?

Michelle Gandawidjaja practices at 1 Hoag Dr, Newport Beach, CA 92663. The listed phone number is (949) 764-4624.

What is Michelle Gandawidjaja's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Michelle Gandawidjaja was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.