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IWAN NYOTOWIDJOJO M.D. NPI 1578976270


NPI Information

NPI: 1578976270
Provider Name: IWAN NYOTOWIDJOJO, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
29472 AVENIDA DE LAS BANDERAS
RANCHO SANTA MARGARITA, CA
ZIP 92688
Phone: (949) 459-9968
Get Directions

Iwan Nyotowidjojo, M.D. is an internal medicine in Rancho Santa Margarita, CA with 10 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Iwan Nyotowidjojo, M.D. NPI is 1578976270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

29472 AVENIDA DE LAS BANDERAS
RANCHO SANTA MARGARITA, CA
ZIP 92688
Phone: (949) 459-9968
Fax: (949) 766-2565

The NPI 1578976270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2014 and was last updated on 4/14/2023.


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
1207R00000XInternal Medicine45679ALABAMANo
2207R00000XInternal Medicine68913ARIZONANo
3207R00000XInternal MedicineDR.0069772COLORADONo
4207R00000XInternal MedicineR74508ARIZONANo
5207R00000XInternal MedicineCL-0025782DELAWARENo
6207R00000XInternal MedicineTPME4194FLORIDANo
7207R00000XInternal MedicineMD-50889IOWANo
8207R00000XInternal MedicineMC-1884IDAHONo
9207R00000XInternal Medicine01089040AINDIANANo
10207R00000XInternal MedicineTW-00242KANSASNo
11207R00000XInternal MedicineC1300KENTUCKYNo
12207R00000XInternal Medicine334744LOUISIANANo
13207R00000XInternal MedicineD0096206MARYLANDNo
14207R00000XInternal MedicineMD26749MAINENo
15207R00000XInternal MedicineA90249CALIFORNIAYes

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.