IndividualActive
Michelle Gandawidjaja
NPI 1871448795 · Pharmacist · Newport Beach, CA
Michelle Gandawidjaja is a Pharmacist provider in Newport Beach, CA (NPI 1871448795).
Provider details
- NPI number
- 1871448795
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 82814 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone: (949) 764-4624
Street-level locationGet directions
Mailing address
272 Novel
Irvine, CA 92618-1792
Registry dates
- Enumerated
- 2026-03-04
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Frequently asked questions
- What is Michelle Gandawidjaja's NPI number?
- Michelle Gandawidjaja's National Provider Identifier (NPI) is 1871448795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Gandawidjaja's specialty?
- Michelle Gandawidjaja is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Michelle Gandawidjaja located?
- Michelle Gandawidjaja's practice location on file with NPPES is 1 Hoag Dr, Newport Beach, CA 92663-4162.
- What is Michelle Gandawidjaja's phone number?
- The practice phone number listed in the NPPES registry for Michelle Gandawidjaja is (949) 764-4624.
- Is Michelle Gandawidjaja's NPI active?
- Yes — Michelle Gandawidjaja's NPI (1871448795) is active in the NPPES registry as of the last update on 2026-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.