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NPI · 1194250670 · NPPES-sourced

Mr. Iwan Sutana Mba, MSN, Agacnp-Bc

ActiveAcute Care Nurse Practitioner
NPI Number
1194250670
Type 1 · Individual
Taxonomy Code
363LA2100X
Contact
(650) 723-2091
License CA · 95007809
Last Updated
Enumerated
Primary practice addressCA · 94305-2200
300 Pasteur DrPalo Alto, CA 94305-2200
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About this NPIWhat this record shows.

NPI 1194250670 is registered to Mr. Iwan Sutana Mba, MSN, Agacnp-Bc, a Acute Care Nurse Practitioner practising at 300 Pasteur Dr in Palo Alto, California. Acute Care Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Iwan Sutana Mba, MSN, Agacnp-Bc has been enumerated in the National Provider Identifier (NPI) registry since 2017.

Provider type
Individual (Type 1)
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

  • 695922CA· Issued by CA BRN
  • 71519CA· Issued by CALIFORNIA BOARD OF REGISTERED NURSING
  • 95007809CA· Issued by CALIFORNIA BOARD OF REGISTERED NURSING

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.

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 Mr. Iwan Sutana Mba, MSN, Agacnp-Bc accepts. To confirm in-network status with your specific health plan, contact Mr. Iwan Sutana Mba, MSN, Agacnp-Bc directly at (650) 723-2091.

Frequently asked

Yes. NPI 1194250670 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Acute Care Nurse Practitioner 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 (650) 723-2091.

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. Mr. Iwan Sutana Mba, MSN, Agacnp-Bc is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LA2100X
Last updated
Enumerated
StatusActive
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6 records · same addressOther providers at this location.

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Same specialtyOther Acute Care Nurse Practitioner providers in California.

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