JONARDI HANDOKO (NPI# 1780664581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780664581 |
| Entity Type | Individual |
| Full Name | JONARDI HANDOKO |
| Credential | MD |
| Practice Address |
811 E 11th St Ste 206 Upland CA 91786 |
| Practice Telephone | 9099313727 |
| Practice Fax Number | 9099313729 |
| Mailing Telephone | 9099313727 |
| Mailing Fax Number | 9099313729 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2010-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A43851 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A43851 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OOA438511 | 05 | |
| CA | SOUTHERN CALIFORNIA | A43851 | 01 |
| Street Address |
811 E 11TH ST STE 206 |
| City | UPLAND |
| State | CA |
| Zip Code | 91786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851748164 | Central City Community Hlt Ctr | Clinic/Center | 811 E 11th St, 203&204, Upland, CA 91786-4871 | 2016-05-17 |
| 1316225436 | Romeo Samouh | Family Medicine | 811 E 11th St, Ste 102, Upland, CA 91786-4871 | 2011-07-22 |
| 1295964815 | Angelina Pik Yin Cheng | Specialist | 811 E 11th St, Suite 102, Upland, CA 91786-4871 | 2009-07-02 |
| 1578762779 | Dwaraknath P. Reddy, M.d. | Internal Medicine | 811 E 11th St, Suite 208, Upland, CA 91786-4871 | 2007-07-17 |
| 1053448290 | William B. Mcleod | Obstetrics & Gynecology | 811 E 11th St, Suite 104, Upland, CA 91786-4871 | 2007-02-27 |
| 1760532071 | David Isami Igarashi | Pharmacy | 811 E 11th St, Suite 201, Upland, CA 91786-4871 | 2007-01-11 |
| 1588739379 | Mira Bharat Joshi | Pediatrics | 811 E 11th St, Ste 102, Upland, CA 91786-4871 | 2006-11-21 |
| 1417964917 | Dwaraknath Ponnalur Reddy | Internal Medicine | 811 E 11th St, Suite 208, Upland, CA 91786-4871 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194742775 | Erlinda T Uy - Concepcion | Internal Medicine | 536 E Foothill Blvd Ste B, Upland, CA 91786-3988 | 2006-07-17 |
| 1750316139 | Mohammed Feroz Alam | Internal Medicine | 536 E Foothill Blvd, Ste B, Upland, CA 91786-3955 | 2006-07-12 |
| 1154353126 | Jin Wang | Internal Medicine | 1317 W Foothill Blvd, Ste 148, Upland, CA 91786-3676 | 2006-07-07 |
| 1982631222 | Nephrology Associates of Upland and Pomona | Internal Medicine | 1317 W Foothill Blvd Ste 148, Upland, CA 91786-3675 | 2006-06-26 |
| 1861791105 | Gerald S Friedman M D Inc | Internal Medicine | 600 N 13th Ave, Suite 100, Upland, CA 91786-4957 | 2011-03-25 |
| 1740424712 | Nima Naimi | Internal Medicine | 1317 W Foothill Blvd, Ste 148, Upland, CA 91786-3676 | 2009-04-22 |
| 1841447745 | Minna F Huang | Internal Medicine | 1317 W Foothill Blvd, Ste 148, Upland, CA 91786-3676 | 2008-08-21 |
| 1861668188 | Erlinda Uy-concepcion M D Inc | Internal Medicine | 536 E Foothill Blvd, Suite B, Upland, CA 91786-3955 | 2008-05-06 |
| 1841225224 | Mary Phuong Bui | Internal Medicine | 1317 W Foothill Blvd, Ste 148, Upland, CA 91786-3676 | 2006-07-12 |
| 1366474322 | Gerald Stanley Friedman | Internal Medicine | 600 N 13th Ave, Ste 100, Upland, CA 91786-4957 | 2006-07-07 |
| Find all providers in UPLAND | ||||
Please comment or provide details below to improve the information on JONARDI HANDOKO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.