IndividualActive
Michelle Widjaja
NPI 1265921472 · Pharmacist · San Diego, CA
Michelle Widjaja is a Pharmacist provider in San Diego, CA (NPI 1265921472).
Provider details
- NPI number
- 1265921472
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 77111 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
575 Saturn Blvd
San Diego, CA 92154-4731
Phone: (619) 205-6147
Street-level locationGet directions
Mailing address
8379 Distinctive Dr
San Diego, CA 92108-2600
Registry dates
- Enumerated
- 2018-05-02
- Last updated
- 2018-05-02
Frequently asked questions
- What is Michelle Widjaja's NPI number?
- Michelle Widjaja's National Provider Identifier (NPI) is 1265921472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Widjaja's specialty?
- Michelle Widjaja is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Michelle Widjaja located?
- Michelle Widjaja's practice location on file with NPPES is 575 Saturn Blvd, San Diego, CA 92154-4731.
- What is Michelle Widjaja's phone number?
- The practice phone number listed in the NPPES registry for Michelle Widjaja is (619) 205-6147.
- Is Michelle Widjaja's NPI active?
- Yes — Michelle Widjaja's NPI (1265921472) is active in the NPPES registry as of the last update on 2018-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.