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

Dr. Daniel Jietjan Trisno, PHARMD

Individual provider Pediatric Pharmacist · NPI 1790605178

Dr. Daniel Jietjan Trisno, PHARMD is a Pediatric Pharmacist in Palo Alto, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

725 Welch Rd # MC5921
Palo Alto, CA 94304-1601
Phone: (650) 724-5123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Pharmacist (primary) Taxonomy 1835P0200X · Licence 86719 (CA)

Record details

NPI number1790605178
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 16, 2026
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

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