ARMAND WIDJAJA (NPI# 1336335322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336335322 |
| Entity Type | Individual |
| Full Name | ARMAND WIDJAJA |
| Credential | M.D. |
| Practice Address |
250 E Yale Loop Ste 200 Irvine CA 92604-4697 |
| Mailing Address |
17360 Brookhurst St Attn: Network Management Fountain Valley CA 92708-3720 |
| Practice Telephone | 9495511090 |
| Practice Fax Number | 9492625500 |
| Mailing Telephone | 7145491300 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2020-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A98710 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
250 E YALE LOOP STE 200 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-4697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306224738 | Nicholas David Jacobson | Pediatrics | 176 Santa Louisa, Irvine, CA 92606-8855 | 2015-05-18 |
| 1134419443 | Anthony Ritchie Chuang | Pediatrics | 635 Monte Vis, Irvine, CA 92602 | 2011-04-08 |
| 1891024766 | Christine Peng | Pediatrics | 19 Spring Buck, Irvine, CA 92614-7431 | 2009-12-23 |
| 1518196328 | Cheryl Lempert-cohen | Pediatrics | 19512 Sierra Seco Rd, Irvine, CA 92603-3837 | 2009-07-14 |
| 1124264742 | Renee Stein | Pediatrics | 81 Linhaven, Irvine, CA 92602-0780 | 2009-01-02 |
| 1598957458 | Hea In Cha | Pediatrics | 533 Cantor, Irvine, CA 92620-3842 | 2007-08-15 |
| 1790999795 | Aarathi Rangachar | Pediatrics | 4870 Barranca Pkwy Ste 300, Irvine, CA 92604 | 2007-05-09 |
| 1285858274 | Ji Yon Han | Pediatrics | 4902 Irvine Center Dr Ste 102, Irvine, CA 92604-3334 | 2007-04-12 |
| 1700901139 | Chih-kuan Wang | Pediatrics | 16300 Sand Canyon Ave Ste 811, Irvine, CA 92618-3708 | 2007-03-21 |
| 1063586428 | Neerja Tina Zand | Pediatrics | 55 Ashford, Irvine, CA 92618-3914 | 2006-11-20 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.