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NPI · 1083658827 · NPPES-sourced

Mudjianto Chandra, M.D., Inc.

ActiveColon & Rectal Surgery Physician
NPI Number
1083658827
Type 2 · Organisation
Taxonomy Code
208C00000X
Contact
(818) 708-1004
License CA · A52198
Last Updated
Enumerated
Primary practice addressCA · 91356-2804
18370 Burbank Blvd, Suite 607Tarzana, CA 91356-2804
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About this NPIWhat this record shows.

NPI 1083658827 is registered to Mudjianto Chandra, M.D., Inc., a healthcare organisation classified as "Colon & Rectal Surgery Physician" and located at 18370 Burbank Blvd, Suite 607 in Tarzana, California. The organisation's authorised official is Mudjianto Chandra. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 00A521980· Issued by BLUE SHIELD
  • P92709600· Issued by OXFORD INSURANCE
  • A52198· Issued by PRIVATE INSURANCE PIN

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mudjianto Chandra, M.D., Inc. accepts. To confirm in-network status with your specific health plan, contact Mudjianto Chandra, M.D., Inc. directly at (818) 708-1004.

Frequently asked

Yes. NPI 1083658827 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Colon & Rectal Surgery Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (818) 708-1004.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mudjianto Chandra, M.D., Inc. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208C00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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1 record · same addressOther providers at this location.

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Same specialtyOther Colon & Rectal Surgery Physician providers in California.

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