Wilbert Tirtadinata
NPI 1578177630 · Certified Registered Nurse Anesthetist · Oakland, CA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wilbert Tirtadinata is a Certified Registered Nurse Anesthetist provider in Oakland, CA (NPI 1578177630).
Provider details
- NPI number
- 1578177630
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 95002000 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2020-09-04
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Frequently asked questions
- What is Wilbert Tirtadinata's NPI number?
- Wilbert Tirtadinata's National Provider Identifier (NPI) is 1578177630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wilbert Tirtadinata's specialty?
- Wilbert Tirtadinata is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Wilbert Tirtadinata located?
- Wilbert Tirtadinata's practice location on file with NPPES is 3600 Broadway, Oakland, CA 94611-5730.
- What is Wilbert Tirtadinata's phone number?
- The practice phone number listed in the NPPES registry for Wilbert Tirtadinata is (510) 752-1000.
- Does Wilbert Tirtadinata accept Medicare?
- Wilbert Tirtadinata is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wilbert Tirtadinata's NPI active?
- Yes — Wilbert Tirtadinata's NPI (1578177630) is active in the NPPES registry as of the last update on 2024-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.