Rungtiwa Weerasethsiri, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A106684 Issued in CA

Practice address

700 W Olive Ave Ste D
Merced, CA 95348-2435

Phone

(209) 383-1343

Fax

(209) 383-5291

NPI assigned

Jan 6, 2009

Last updated

Jun 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Children's Medical Group

  • Pediatrics Physician
  • Modesto, CA
  • NPI 1437555265
  Medicare reassignment NPD
• Valley Children's Specialty Medical Group, Inc.

  • Pediatrics Physician
  • Madera, CA
  • NPI 1013968296
  Medicare reassignment NPD
• Rungtiwa Weerasethsiri M.D.

  • Primary Care Clinic/Center
  • Merced, CA
  • NPI 1598185688
  Authorized official Same address or phone
• Dignity Health

  dba Mercy Medical Center Merced

  • General Acute Care Hospital
  • Merced, CA
  • NPI 1518018191
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402099200000",
    "number": "1093951444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W OLIVE AVE STE D",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482435",
            "telephone_number": "209-383-1343",
            "fax_number": "209-383-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OLIVE AVE STE D",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482435",
            "telephone_number": "209-383-1343",
            "fax_number": "209-383-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEERASETHSIRI",
        "first_name": "RUNGTIWA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2014-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A106684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093951444",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Watson
• Shanytel Monee Weathersby, FNP-C
• Weaver Usd
• Cindy Maria Weaver
• Cathy Jo Weed
• Jessela Wehner
• Laura Ann Weil
• Kiara Britney Welch
• West Coast Hospitalists PC
• Marcus Benjamin West, AMFT 132921

• Pediatrics Physician in Merced, CA
• Providers in Merced, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.