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

Jonardi Handoko, MD

Individual provider Internal Medicine Physician · NPI 1780664581

Jonardi Handoko, MD is a Nephrology in Upland, California. Qualified in 1977, 49 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
49
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

811 E 11th St Ste 206
Upland, CA 91786
Phone: (909) 931-3727
Fax: (909) 931-3729
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A43851 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A43851 (CA)

Record details

NPI number1780664581
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 18, 2006
Last updated in NPPESJuly 13, 2010
Mailing address811 E 11th St, Ste 206, Upland, CA 91786

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Upland