Yudi Wibisono, DO
NPI 1740711134 · Occupational Medicine Physician · North Las Vegas, NV
Yudi Wibisono, DO is a Occupational Medicine Physician provider in North Las Vegas, NV (NPI 1740711134).
Provider details
- NPI number
- 1740711134
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- MRO-1647 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 391 S Chipeta Way Ste CSalt Lake City, UT 84108-1294Phone: (801) 581-7224
- 1400 Pottery AvePort Orchard, WA 98366-3711Phone: (360) 895-5000Fax: (360) 895-5060
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2022-10-13
- Certified
- 2022-10-13
Frequently asked questions
- What is Yudi Wibisono's NPI number?
- Yudi Wibisono's National Provider Identifier (NPI) is 1740711134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Yudi Wibisono's specialty?
- Yudi Wibisono is listed in the NPPES registry with a primary specialty of Occupational Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Yudi Wibisono located?
- Yudi Wibisono's practice location on file with NPPES is 6900 N Pecos Rd, North Las Vegas, NV 89086-4400.
- What is Yudi Wibisono's phone number?
- The practice phone number listed in the NPPES registry for Yudi Wibisono is (702) 791-9000.
- Is Yudi Wibisono's NPI active?
- Yes — Yudi Wibisono's NPI (1740711134) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.