IndividualActive
Mario Listiawan, PHARMD
NPI 1295006609 · Pharmacist · Rancho Cordova, CA
Mario Listiawan, PHARMD is a Pharmacist provider in Rancho Cordova, CA (NPI 1295006609).
Provider details
- NPI number
- 1295006609
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 65574 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
10811 International Dr
Rancho Cordova, CA 95670-7368
Phone: (916) 503-1910
Street-level locationGet directions
Mailing address
3019 S 8th Ave
Arcadia, CA 91006-5718
Registry dates
- Enumerated
- 2012-01-16
- Last updated
- 2012-01-16
Frequently asked questions
- What is Mario Listiawan's NPI number?
- Mario Listiawan's National Provider Identifier (NPI) is 1295006609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Listiawan's specialty?
- Mario Listiawan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Mario Listiawan located?
- Mario Listiawan's practice location on file with NPPES is 10811 International Dr, Rancho Cordova, CA 95670-7368.
- What is Mario Listiawan's phone number?
- The practice phone number listed in the NPPES registry for Mario Listiawan is (916) 503-1910.
- Is Mario Listiawan's NPI active?
- Yes — Mario Listiawan's NPI (1295006609) is active in the NPPES registry as of the last update on 2012-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.