DR. FRANKY PHILLIP HASIBUAN M.D.
NPI 1871883215
Family Medicine in Wildomar, CA
About Dr. Franky Phillip Hasibuan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FRANKY PHILLIP HASIBUAN M.D. (NPI 1871883215) is an individual family medicine provider in Wildomar, California, licensed in California (A122762) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Franky Phillip Hasibuan M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Franky Hasibuan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92595 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WILDOMAR, CA 92595
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 Franky Hasibuan's NPI number?
The NPI number for Franky Hasibuan is 1871883215. It was assigned to this individual provider in the NPPES registry on April 19, 2011.
Where is Franky Hasibuan located?
Franky Hasibuan practices at 36450 Inland Valley Dr, Wildomar, CA 92595. The listed phone number is (866) 984-7483.
What is Franky Hasibuan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Franky Hasibuan enrolled in Medicare?
Yes. Franky Hasibuan 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.
Which organization bills Medicare for Franky Hasibuan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Franky Hasibuan reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Franky Hasibuan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Franky Hasibuan was last updated on December 2, 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.
# Dr. Franky Phillip Hasibuan, M.D. · NPI 1871883215
Family Medicine physician in Wildomar, California. Individual provider, active in the CMS NPPES registry since April 19, 2011.
## Identity
- **NPI:** 1871883215 (Entity type: Individual)
- **Enumerated:** April 19, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A122762 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 36450 INLAND VALLEY DR, Wildomar, CA 92595-9583
- **Phone:** (866) 984-7483
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** December 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1871883215) · Data from the CMS NPPES public registry.