Kartika Budiman, NURSE PRACTITIONER - Medicare Nurse Practitioner in Pomona, CA

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Kartika Budiman, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Pomona, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Apple Urgent Care Inc and her current practice location is 1450 E Holt Ave, Pomona, California. You can reach out to her office (for appointments etc.) via phone at (909) 630-7927.

Kartika Budiman is licensed to practice in California (license number NP950101068) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295200038.

Contact Information

Kartika Budiman, NURSE PRACTITIONER
1450 E Holt Ave,
Pomona, CA 91767-5822
(909) 630-7927
Not Available

Map and Direction




Provider's Profile

Full NameKartika Budiman
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1450 E Holt Ave, Pomona, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kartika Budiman graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1295200038
  • Provider Enumeration Date: 10/08/2018
  • Last Update Date: 05/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254676869
  • Enrollment ID: I20190308002394

Medical Identifiers

Medical identifiers for Kartika Budiman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295200038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP950101068 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Apple Urgent Care Inc94361927139

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. Kartika Budiman allows following entities to bill medicare on her behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameApple Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316005572
PECOS PAC ID: 9436192713
Enrollment ID: O20051017000244
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508255175
PECOS PAC ID: 1153227814
Enrollment ID: O20160216002196
Entity NameDispatchhealth-ca, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639752553
PECOS PAC ID: 4789086455
Enrollment ID: O20210719000230

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. Kartika Budiman 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 AddressPractice Location Address
Kartika Budiman, NURSE PRACTITIONER
3119 Park Vista Dr,
Rialto, CA 92376-7100

Ph: (909) 498-6274		Kartika Budiman, NURSE PRACTITIONER
1450 E Holt Ave,
Pomona, CA 91767-5822

Ph: (909) 630-7927

Reviews and Comments


Nurse Practitioner Nurses in Pomona, CA

Michael Marinello,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 255 E Bonita Ave, Pomona, CA 91767
Phone: 909-643-2980    
Rohan Bassi, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1866 N Orange Grove Ave Ste 202, Pomona, CA 91767
Phone: 909-623-8796    Fax: 909-623-3076
Patrick Alonzo,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1880 N Orange Grove Ave, Pomona, CA 91767
Phone: 909-623-2100    
Raquel C Rulloda, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Royalty Dr Ste 250, Pomona, CA 91767
Phone: 909-623-6581    
Shellee Reese,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1910 Royalty Dr, Pomona, CA 91767
Phone: 909-865-9901    
Ivy Lien Yin, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1920 N Garey Ave, Pomona, CA 91767
Phone: 909-622-1235    
Lijuan Zhao, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 260 E Holt Ave, Pomona, CA 91767
Phone: 909-629-8088    Fax: 909-629-8755

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.