Jonardi Handoko (NPI# 1780664581, PAC ID# 2567425853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1780664581 |
| PAC ID by PECOS | 2567425853 |
| Professional Enrollment ID | I20060112001015 |
| Full Name | Jonardi Handoko |
| Address |
255 E Bonita Ave Pomona CA 91767-1923 |
| Phone Number | 9095967733 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1977 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050099 | SAN ANTONIO REGIONAL HOSPITAL |
| 050231 | POMONA VALLEY HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1798 N Garey Ave, Pomona, CA 91767-2918 | 9098659500 | |
| 2475 N Garey Ave, Pomona, CA 91767-2139 | 9095969997 | |
| 255 E Bonita Ave, Pomona, CA 91767-1923 | 9095967733 | |
| 811 E 11th St, Suite 206, Upland, CA 91786-4872 | 9099312727 |
| Street Address |
255 E BONITA AVE |
| City | POMONA |
| State | CA |
| Zip | 91767-1923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan C Tang | Anesthesiology | Allied Anesthesia Medical Group Inc | 255 E Bonita Ave, Suite 3b, Pomona, CA 91767-1923 |
| Kerry N Gott | Infectious Disease | 255 E Bonita Ave, Pomona, CA 91767-1923 | |
| Michael Chai | Internal Medicine | 255 E Bonita Ave, Pomona, CA 91767-1923 | |
| Lew B Disney | General Practice | Scott C Lederhaus Md and Lew B Disney Md Prt Lederhaus Scott C Gen Ptr | 255 E Bonita Ave, Bldg 9, Pomona, CA 91767-1923 |
| Jeremy J Neuner | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
| Abid A Rizvi | Undefined Physician Type (specify) | 255 E Bonita Ave, Bldg 1 Suite 201, Pomona, CA 91767-1923 | |
| Elizabeth A Cano | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
| Christopher Ruiz | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
| George J Cheng | Anesthesiology | Allied Anesthesia Medical Group Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
| Katrina Keil | Psychologist, Clinical | Colina Medical Associates, Inc. | 255 E Bonita Ave, Pomona, CA 91767-1923 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Barr | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 775 E Foothill Blvd, Pomona, CA 91767-1223 |
| Warren Gabrillo | Family Medicine | 219 E Foothill Blvd, Pomona, CA 91767-1403 | |
| Richard Veirs | Chiropractic | 355 E Foothill Blvd, Suite B, Pomona, CA 91767-1471 | |
| Jia Mao | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Wayne E Houpt Jr. | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Jennifer Lee | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Forrest Doan | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Seeyam Teimoori Nobandegani | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Susan M Bishop | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Patricia F Wallace-burke | Clinical Psychologist | Tricity Mental Health Center | 2008 N Garey Ave, Pomona, CA 91767-1639 |
| Find all physicians in zip 91767 | |||
| City | POMONA |
| Zip Code | 91767 |
| Specialty | NEPHROLOGY |
| City + Specialty | POMONA + NEPHROLOGY |
Please comment or provide details below to improve the information on Jonardi Handoko.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.