David Hadiprodjo, MD in Fountain Valley, CA

David Hadiprodjo, MD is a medicare enrolled "Anesthesiology" physician in Fountain Valley, California. He went to Boston University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 17100 Euclid St, Fountain Valley, California. You can reach out to his office (for appointments etc.) via phone at (858) 382-2286.

David Hadiprodjo is licensed to practice in California (license number A131943) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447683537.

Contact Information

	David Hadiprodjo, MD
	17100 Euclid St, Fountain Valley, CA 92708-4004
	(858) 382-2286
	Not Available

Map and Direction

Physician's Profile

Full Name	David Hadiprodjo
Gender	Male
Speciality	Anesthesiology
Experience	11 Years
Location	17100 Euclid St, Fountain Valley, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Hadiprodjo attended and graduated from Boston University School Of Medicine in 2013

NPI Data:

NPI Number: 1447683537
Provider Enumeration Date: 08/13/2013
Last Update Date: 03/01/2022

Medicare PECOS Information:

PECOS PAC ID: 0345518874
Enrollment ID: I20170623002354

Medical Identifiers

Medical identifiers for David Hadiprodjo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447683537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	A131943 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital, Riverside	Riverside, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Hadiprodjo allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Entity Name	Allied Anesthesia Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346267267 PECOS PAC ID: 6103728407 Enrollment ID: O20040126001001

Entity Name	Premiercare Anesthesia Fountain Valley Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831536531 PECOS PAC ID: 5698903003 Enrollment ID: O20140110000426

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Hadiprodjo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David Hadiprodjo, MD 2501 Alton Pkwy Unit 2451, Irvine, CA 92606-4854 Ph: (858) 382-2286	David Hadiprodjo, MD 17100 Euclid St, Fountain Valley, CA 92708-4004 Ph: (858) 382-2286

Reviews and Comments

Anesthesiology Doctors in Fountain Valley, CA

Dr. Sandra W Kluwe, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-979-1211
Elsa A. Tekle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-949-1211
Dr. Michael Henry Wong, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10900 Warner Ave, Suite #101 A, Fountain Valley, CA 92708 Phone: 714-698-1270 Fax: 714-962-7261
Dr. Tu V Nguyen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9920 Talbert Ave, Fountain Valley, CA 92708 Phone: 714-378-7000 Fax: 714-647-1245
Michael Audon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10900 Warner Ave, Suite 101a, Fountain Valley, CA 92708 Phone: 714-285-2385 Fax: 818-831-1808
Dr. Bharat V Merai, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-979-1211
Alan Ho, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18035 Brookhurst St, # 1200, Fountain Valley, CA 92708 Phone: 714-963-7240

David Hadiprodjo, MD - Medicare Anesthesiology in Fountain Valley, CA