Active NPI
Pratan Vathesatogkit, M.D.
- Pulmonary Disease Physician
- Oceanside, CA
National Provider Identifier
1053441329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A69561
- Practice address
- 3231 Waring CT
Suite D
Oceanside, CA 92056-4510 - Phone
- (760) 630-4833
- Fax
- (760) 758-1980
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A69561 | CA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A69561 | CA |
Addresses
Primary practice location
3231 Waring CT
Suite D
Oceanside, CA 92056-4510
Mailing address
3231 Waring CT
Suite D
Oceanside, CA 92056-4510
Phone (760) 630-4833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Chest Clinic, P.C. | Pulmonary Disease | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/bf3cdcd1-e78b-4f0f-b435-3106b60f9492/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Yakima, WA
- NPI 1902843998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1053441329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 WARING CT",
"address_2": "SUITE D",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564510",
"telephone_number": "760-630-4833",
"fax_number": "760-758-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 WARING CT",
"address_2": "SUITE D",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564510",
"telephone_number": "760-630-4833",
"fax_number": "760-758-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VATHESATOGKIT",
"first_name": "PRATAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A69561",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A69561",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.