Iwan Nyotowidjojo, MD
Iwan Nyotowidjojo, MD is an Internal Medicine in Rancho Santa Margarita, California. Graduated from University of Vermont College of Medicine in 2014, 12 years ago. Practices with Friends of Family Health Center, an 11-clinician group and accepts Medicare assignment. Licensed in Alabama, Arizona, California and Colorado and 10 more.
- Years since qualifying
- 12
- Trained at
- University of Vermont College of Medicine
- Licensed in
- AL, AZ, CA, CO, DE, FL
- In the registry since
- 2014
- Specialties on file
- 15
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
29472 Avenida De Las BanderasRancho Santa Margarita, CA 92688
Phone: (949) 459-9968
Fax: (949) 766-2565
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence A167115 (CA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 45679 (AL) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 01089040A (IN) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence TW-00242 (KS) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence C1300 (KY) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 334744 (LA) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence D0096206 (MD) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence MD26749 (ME) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence CL-0025782 (DE) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 68913 (AZ) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence DR.0069772 (CO) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence R74508 (AZ) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence MD-50889 (IA) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence MC-1884 (ID) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence TPME4194 (FL) |
Record details
| NPI number | 1578976270 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 10, 2014 |
| Last updated in NPPES | July 17, 2024 |
| Certification date | July 17, 2024 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduated | 2014 (12 years in practice) |
| Group practice | Friends Of Family Health Center — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Rancho Santa Margarita
-
Dr. Yolanda P Gomez, MD
22342 Avenida Empresa Ste 195, Rancho Santa Margarita, CA 92688-2140 · (949) 713-9705
-
Dr. Gwendolyn S Gore, MD
29472 Ave De Las Banderas, Rancho Santa Margarita, CA 92688-2651 · (949) 459-9968
-
Kundula Medical Corporation
29851 Aventura Ste M, Rancho Santa Margarita, CA 92688-2014 · (949) 459-4820
-
Dr. Deepak Patel, MD
29839 Santa Margarita Pkwy Ste 100, Rancho Santa Margarita, CA 92688-3616 · (949) 577-3937
-
Zakiat Darojat PA
30212 Tomas Ste 180, Rancho Santa Margarita, CA 92688-2174 · (949) 923-0608
-
Siamak Zamani, MD
29873 Santa Margarita Pkwy Ste 100, Rancho Santa Margarita, CA 92688-3626 · (949) 589-9114