Agustinus Suhardja, MD
Diagnostic Radiology Physician · Glendora, CA
Agustinus Suhardja, MD is a diagnostic radiology physician with a practice address in Glendora, California, and NPI 1235349473, issued on May 23, 2007. Check the license (California A89588, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Agustinus Suhardja
- Credential
- MD
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License numbers
- A89588 CA
04-34805 KS
D0078407 MD
0101256807 VA
Self-reported in NPPES; status is on the state search - Practice location
- 828 S Grand Ave Ste 104, Glendora, CA 91740
- Phone
- (626) 963-2057
- Enumerated
- May 23, 2007
- Record last updated
- Nov 29, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (626) 963-4298
- Medicare enrollment
- Enrolled (PECOS I20071115000667); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 4,500 in California → Look up another NPI →
Verify Agustinus Suhardja in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A89588Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Southern California Permanente Medical GroupDowney, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Agustinus Suhardja among 4,500 diagnostic radiology physician records in California
Agustinus Suhardja, MD is one of 4,500 diagnostic radiology physician records with a practice address in California. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 48% of them.
- NPI issued2007 · 48% of these records are older, 41% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated1995 · median 2004 among the 3,130 with a school on file
- Record last updated2021 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Diagnostic Radiology Physician providers in California
There are 4,500 diagnostic radiology physician records in California.
All 4,500 in California → Every provider in Glendora → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- William Hooks, MDLa Puente, CA 917441740215441
- Daniel Hou, M.D.Hacienda Heights, CA 917451417296682
- Andrea Mallet-Reece, MDHacienda Heights, CA 917451326076688
- Joel Block, MDRancho Cucamongo, CA 917301225098189
- Alfonso Carrillo, M.D.Rancho Cucamonga, CA 917301316906894
- Steven Cobb, M.D.Rancho Cucamonga, CA 917301770542110
- Curtis Handler, M.D.Rancho Cucamongo, CA 917301649255290
- Thomas Lin, M.D.Rancho Cucamonga, CA 917301861698151
Common questions
What is Agustinus Suhardja, MD's NPI number?
Agustinus Suhardja, MD's National Provider Identifier (NPI) is 1235349473, issued on May 23, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Agustinus Suhardja, MD located?
The NPPES record lists a practice address at 828 S Grand Ave Ste 104, Glendora, CA, 91740. Phone: (626) 963-2057. Providers update this record themselves, so call before visiting.
How can I verify Agustinus Suhardja, MD's license?
NPPES lists California license number A89588, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.