Doctor profile · Federal record
Dr. Tarathya Dharmasaputra, MD
Pediatrics Physician · Student in an Organized Health Care Education/Training Program · Victorville, CA
- NPI 1093387672
- 5 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
15237 Eleventh St Ste A
Victorville, CA 923953736
(760) 662-7420
fax (760) 513-9000 - Additional location
-
760 Broadway Dept of
Brooklyn, NY 112065317
(718) 963-7956
fax (718) 963-7957
Credentials & registration
- NPI registered
- July 2021 — 5 yrs on file
- Profile last updated
- September 8, 2025
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- California #A195428
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093387672. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phadia US Inc. | 1 | $19.46 |
By nature of payment
Frequently asked questions
What is Dr. Tarathya Dharmasaputra's medical specialty?
Dr. Tarathya Dharmasaputra practices Pediatrics Physician in Victorville, CA.
Where does Dr. Tarathya Dharmasaputra practice?
Dr. Tarathya Dharmasaputra practices at 15237 Eleventh St Ste A, Victorville, CA 923953736. Office phone: 7606627420.
What is Dr. Tarathya Dharmasaputra's NPI?
Dr. Tarathya Dharmasaputra's National Provider Identifier (NPI) is 1093387672, issued by NPPES.