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NPI · 1134812548 · NPPES-sourced

Bianca Wibisono PA-C

ActivePhysician Assistant
NPI Number
1134812548
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(408) 445-4020
License CA · 62531
Last Updated
Enumerated
Primary practice addressCA · 95123-1105
1071 Blossom Hill RdSan Jose, CA 95123-1105
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About this NPIWhat this record shows.

NPI 1134812548 is registered to Bianca Wibisono PA-C, a Physician Assistant practising at 1071 Blossom Hill Rd in San Jose, California. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Bianca Wibisono PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2023.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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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.

Practitioner

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 Bianca Wibisono PA-C accepts. To confirm in-network status with your specific health plan, contact Bianca Wibisono PA-C directly at (408) 445-4020.

Frequently asked

Yes. NPI 1134812548 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant 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 (408) 445-4020.

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. Bianca Wibisono PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
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 Physician Assistant providers in California.

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