Active NPI
Komson Potipitak, RRT
- Registered Respiratory Therapist
- Palmdale, CA
National Provider Identifier
1083386791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 24438
- Practice address
- 1241 Stanfill Rd
Palmdale, CA 93551-4468 - Phone
- (661) 878-6153
- NPI assigned
- Sep 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 24438 | CA | Primary |
Addresses
Primary practice location
1241 Stanfill Rd
Palmdale, CA 93551-4468
Mailing address
1241 Stanfill Rd
Palmdale, CA 93551-4468
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24438 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1083386791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 STANFILL RD",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 STANFILL RD",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514468",
"telephone_number": "661-878-6153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTIPITAK",
"first_name": "KOMSON",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "CA",
"license": "24438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.