Herman Sardjono MD Medical Corp
NPI 1700890167 · Internal Medicine Physician · Arcadia, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Herman Sardjono MD Medical Corp is a Internal Medicine Physician organization in Arcadia, CA (NPI 1700890167).
Provider details
- NPI number
- 1700890167
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Herman Sardjono MD, President(626) 821-5305
- License
- A41793 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Other name
- Herman Sardjono MD Med Corp
- Other name
- Herman Sardjono MD Medical Corporat
- Other name
- Herman Sardjono MD Medical Corporation
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2019-11-12
Frequently asked questions
- What is Herman Sardjono MD Medical Corp's NPI number?
- Herman Sardjono MD Medical Corp's National Provider Identifier (NPI) is 1700890167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Herman Sardjono MD Medical Corp?
- Herman Sardjono MD Medical Corp is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Herman Sardjono MD Medical Corp located?
- Herman Sardjono MD Medical Corp's practice location on file with NPPES is 72 W Las Tunas Dr, Arcadia, CA 91007.
- What is Herman Sardjono MD Medical Corp's phone number?
- The practice phone number listed in the NPPES registry for Herman Sardjono MD Medical Corp is (626) 821-5305.
- Does Herman Sardjono MD Medical Corp accept Medicare?
- Herman Sardjono MD Medical Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Herman Sardjono MD Medical Corp?
- The authorized official listed on Herman Sardjono MD Medical Corp's NPPES record is Herman Sardjono MD, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Herman Sardjono MD Medical Corp's NPI active?
- Yes — Herman Sardjono MD Medical Corp's NPI (1700890167) is active in the NPPES registry as of the last update on 2019-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.