Doctor profile · Federal record
Dr. Lydia Koernianingsih, DDS
Dentist · Santa Ana, CA
- NPI 1083817423
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1125 E 17Th St Ste W234
Santa Ana, CA 927012228
(714) 558-4895
fax (714) 558-4896
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- January 24, 2020
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- California #48488
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083817423. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Solventum Corporation | 1 | $23.91 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$27
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 11 | 0 | $27 |
Frequently asked questions
What is Dr. Lydia Koernianingsih's medical specialty?
Dr. Lydia Koernianingsih practices Dentist in Santa Ana, CA.
Where does Dr. Lydia Koernianingsih practice?
Dr. Lydia Koernianingsih practices at 1125 E 17Th St Ste W234, Santa Ana, CA 927012228. Office phone: 7145584895.
What is Dr. Lydia Koernianingsih's NPI?
Dr. Lydia Koernianingsih's National Provider Identifier (NPI) is 1083817423, issued by NPPES.