Herman Sardjono MD has Internal Medicine as his primary medical specialty. Their primary office is: 438 W Las Tunas Dr in San Gabriel, California. They attended Sorry, his university is not listed and graduated in 1973 (around 51 years of experience). They are listed as doing telehealth appointments.
Herman Sardjono MD
438 W Las Tunas Dr
San Gabriel, California 91776
626-289-5454
Phone: 626-289-5454
Enter a starting address:
Additional Medical Specialties Include:
FAMILY PRACTICE
Medical School: Sorry, his university is not listed
Graduation Year: 1973
The Primary Medical Specialty for Herman Sardjono MD is listed as: Internal Medicine
Credentials: MD
Additional Credentials:
Approximate Years of Experience: 51
PAC (PECOS ID)#: 6608762125
NPI #: 1225142128
NPI Created On: 08/18/2006
NPI Last Updated Listed as: 01/02/2020
Primary Taxonomy Code: 207R00000X
License Number:
A41793
Listed Gender: Male
Forms of insurance accepted by include, but are not limited to:
Languages spoken by staff include: English, Spanish, Mandarin, Indonesian, Chinese, Cantonese.
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $21
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 810664093
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: Ozempic
Open Associated Drug #1: 0169-4132-12
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: RYBELSUS
Associated Drug #2: 0169-4303-13
Payments Total: $18
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 810798483
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: RYBELSUS
Open Associated Drug #1: 0169-4303-13
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: Ozempic
Associated Drug #2: 0169-4132-12
Payments Total: $17
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 810798487
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: RYBELSUS
Open Associated Drug #1: 0169-4303-13
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: Ozempic
Associated Drug #2: 0169-4132-12
Payments Total: $123
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 811181829
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: RYBELSUS
Open Associated Drug #1: 0169-4303-13
Payments Total: $20
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 811474499
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: Ozempic
Open Associated Drug #1: 0169-4132-12
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: RYBELSUS
Associated Drug #2: 0169-4303-13
Payments Total: $12
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 811474505
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Diabetes
Name of Drug #1: Ozempic
Open Associated Drug #1: 0169-4132-12
Drug or Biological: Drug
Product Category #2: Diabetes
Name Of Drug #2:: RYBELSUS
Associated Drug #2: 0169-4303-13
Payments Total: $21
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 815104903
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular
Name of Drug #1: Vascepa
Open Associated Drug #1: 52937-101-08
Payments Total: $12
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 815155947
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular
Name of Drug #1: Vascepa
Open Associated Drug #1: 52937-101-08
Payments Total: $16
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 815155951
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular
Name of Drug #1: Vascepa
Open Associated Drug #1: 52937-101-08
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