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Jonathan Wibisono , NP

Nurse Practitioner • Beaumont, CA

Active NPI 1992158653 Individual Practitioner Male Practitioner
Practice location in NPPES

851 E 6th St, Suite B-4
Beaumont, CA 922232340

Call 9518452294 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

851 E 6th St
Suite B-4

Beaumont, CA 922232340

Telephone 9518452294
Organization at the Same NPPES Address or Phone
Xcel Orthopedic & Sports Physical Therapy Facility NPI 1497848287

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

673 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$31,600 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2023

All general payments: $77.94 across 3 records.

By nature of payment

  • Food and Beverage: $77.94 across 3 records.

Reporting-company totals

  • Sumitomo Pharma America, Inc.: $77.94 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Beaumont and California

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: 248. Middle half: 63 to 852.

Too few clinicians listed under Nurse Practitioner in Beaumont have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: $13,982. Middle half: $995 to $121,041.

Too few clinicians listed under Nurse Practitioner in Beaumont have Medicare Part D data for 2024 to compare.

12 active clinicians are listed under Nurse Practitioner with a practice address in Beaumont, CA (8,237 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Beaumont

25% of these 12 clinicians have the CMS telehealth indicator.

50% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $77.94.

Manufacturer Payment Nature Product Type Amount ($)
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $29.52
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $27.44
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $20.98

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Sodium Chloride 0.9 % Sodium Chloride 57 180 $2,122.44 24
Potassium Chloride Potassium Chloride 40 940 $2,247.12 14
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 33 183 $410.69 —
Tramadol Hcl Tramadol Hcl 33 251 $520.59 11
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 32 248 $400.36 14
Metoprolol Tartrate Metoprolol Tartrate 27 767 $247.50 —
Furosemide Furosemide 27 613 $218.10 12
Cefepime Hcl Cefepime Hcl 25 81 $1,612.01 —
Eliquis Apixaban 22 288 $6,288.19 —
Losartan Potassium Losartan Potassium 21 613 $300.37 —
Mirtazapine Mirtazapine 21 581 $575.87 —
Tizanidine Hcl Tizanidine Hcl 21 601 $510.71 —
Triamcinolone Acetonide Triamcinolone Acetonide 20 156 $207.52 —
Metoclopramide Hcl Metoclopramide Hcl 20 512 $444.96 —
Omeprazole Omeprazole 19 461 $246.13 —
Levothyroxine Sodium Levothyroxine Sodium 18 505 $318.52 —
Famotidine Famotidine 17 376 $603.37 —
Lactulose Lactulose 17 113 $455.13 —
Trulicity Dulaglutide 17 182 $6,664.96 —
Pantoprazole Sodium Pantoprazole Sodium 16 467 $384.53 —
Hydroxyzine Hcl Hydroxyzine Hcl 16 112 $220.65 —
Morphine Sulfate Morphine Sulfate 15 119 $340.67 —
Escitalopram Oxalate Escitalopram Oxalate 14 398 $188.97 —
Buspirone Hcl Buspirone Hcl 13 326 $527.00 —
Quetiapine Fumarate Quetiapine Fumarate 13 328 $210.08 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CA 95004343

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History

NPI enumerated July 18, 2016.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1992158653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2016
Last Update: July 18, 2016
Sole Proprietor: Yes

Other Nurse Practitioners in Beaumont

All Nurse Practitioners in Beaumont

Mailing Address

851 E 6th St, Suite B-4

Beaumont, CA 922232340

Phone: 9518452294

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.