Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alfonsus P Hardosubroto

Individual provider Assisted Living Facility · NPI 1285599522

Alfonsus P Hardosubroto is an Assisted Living Facility in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1397 Sun Tree Dr
Roseville, CA 95661-5344
Phone: (916) 899-5604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 315002920 (CA)

Record details

NPI number1285599522
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

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