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

Danny Linggonegoro

Individual provider Pediatrics Physician · NPI 1003556515

Danny Linggonegoro is a Pediatrics Physician in Redwood City, California. Licensed in California and Massachusetts. Registered with an NPI since 2022.

Licensed in
CA, MA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

450 Broadway St Fl C2
Redwood City, CA 94063-3132
Phone: (650) 721-7190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A191221 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 293781 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003556515
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024

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