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RUSLY HARSONO MD FAAP NPI 1316145832


NPI Information

NPI: 1316145832
Provider Name: RUSLY HARSONO, MD, FAAP
Classification: Pediatrics - 2080P0203X
Entity Type: Individual

Specialization: Pediatric Critical Care Medicine

Address:
725 WELCH RD
PALO ALTO, CA
ZIP 94304
Phone: (650) 497-8000
Get Directions

Rusly Harsono, MD, FAAP is a pediatric critical care medicine pediatrics in Palo Alto, CA. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. Rusly Harsono, MD, FAAP NPI is 1316145832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

725 WELCH RD
PALO ALTO, CA
ZIP 94304-601
Phone: (650) 497-8000

The enumeration date for this NPI number is 7/5/2007 and was last updated on 6/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics002881NEW YORKNo
2208000000XPediatricsA92797CALIFORNIANo
3208000000XPediatricsMD426037PENNSYLVANIANo
42080P0203XPediatricsPediatric Critical Care Medicine002881NEW YORKNo
52080P0203XPediatricsPediatric Critical Care MedicineMD426037PENNSYLVANIANo
6282NC2000XGeneral Acute Care HospitalChildren43740ARIZONANo
72080P0203XPediatricsPediatric Critical Care Medicine43740ARIZONANo
82080P0203XPediatricsPediatric Critical Care MedicineA92797CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z142035MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.