Ida Osathanugrah
Ida Osathanugrah is a Pharmacist provider (Pharmacist) practicing in Clovis, CA, registered in the NPPES registry with NPI 1205558707 since 2022.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205558707 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Ida Osathanugrah |
| Sex | Female |
| Practice address | 2010 LOS ALTOS AVE, Clovis, CA, 93611 |
| Phone | 6615573800 |
| Enumeration date | 2022-09-13 |
| Last updated in NPPES | 2022-09-13 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 86494 | CA |
Copy-ready billing details
Provider: Ida Osathanugrah NPI: 1205558707 Taxonomy: 183500000X (Pharmacist) Address: 2010 LOS ALTOS AVE, Clovis, CA, 93611
Verify this record
Cross-check NPI 1205558707 against the authoritative CMS record: view Ida Osathanugrah on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-09-13.