Doctor profile · Federal record

Dr. Bianca Wibisono, PA-C

Physician Assistant · San Jose, CA

  • NPI 1134812548
  • Accepts Medicare
  • 4 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1071 Blossom Hill RD
San Jose, CA 951231105
(408) 445-4020
Mailing address
325 Distel Cir
Los Altos, CA 940221408

Credentials & registration

NPPES · NUCC
NPI registered
May 2023 — 3 yrs on file
Profile last updated
September 13, 2023
Year of graduation
2022 — 4 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
California #62531

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1134812548. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
35
Distinct HCPCS
2
Medicare allowed
$3,889
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 18 18 $93
99214 Established patient office or other outpatient visit, 30-39 minutes 17 17 $131

In context: peer comparison

Among 20 peers in San Jose Physician Assistant, average services per provider: 59. This provider delivers 0.6× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Bianca Wibisono's medical specialty?
Dr. Bianca Wibisono practices Physician Assistant in San Jose, CA.
Where does Dr. Bianca Wibisono practice?
Dr. Bianca Wibisono practices at 1071 Blossom Hill RD, San Jose, CA 951231105. Office phone: 4084454020.
What is Dr. Bianca Wibisono's NPI?
Dr. Bianca Wibisono's National Provider Identifier (NPI) is 1134812548, issued by NPPES.
Does Dr. Bianca Wibisono accept Medicare assignment?
Yes. Dr. Bianca Wibisono accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Bianca Wibisono commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.