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

Juwono Lindawati Sutedjo, MD

Individual provider Internal Medicine Physician · NPI 1114072980

Juwono Lindawati Sutedjo, MD is an Internal Medicine in Stanford, California. Qualified in 2006, 20 years ago. Practices with Stanford Health Care, a 3,085-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Massachusetts and Montana.

Years since qualifying
20
Licensed in
CA, MA, MT
In the registry since
2007
Specialties on file
5
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

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

Additional practice locations (2)

  • 141 Lynch Creek Way Ste C, Petaluma, CA 94954-2390 — (707) 790-8000
  • 1101 Madison St Ste 301, Seattle, WA 98104-3599 — (206) 505-1020

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence C180691 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 21983 (MT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 228744 (MA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 21983 (MT)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence C180691 (CA)

Record details

NPI number1114072980
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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