Chutima Ningsomboon, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17271 Issued in CA

Practice address

10316 Woodley Ave
Granada Hills, CA 91344-6916

Phone

(818) 368-5651

Fax

(818) 363-4770

NPI assigned

Jul 3, 2006

Last updated

Dec 3, 2007By 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Payam Abrishami, M.D., Inc.Group PAC ID 1355495813, 2 clinicians

Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Payam Abrishami, M.D., Inc.

  • Specialist
  • Los Angeles, CA
  • NPI 1205076502
  Medicare reassignment Care Compare group
• Evelyn Jankowski MD Inc

  • Dermatology Physician
  • Granada Hills, CA
  • NPI 1831200633
  Medicare reassignment
• Skin and Beauty Center Inc

  • Dermatology Physician
  • Burbank, CA
  • NPI 1073751129
  Care Compare group
• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804
  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1124057831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 WOODLEY AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446916",
            "telephone_number": "818-368-5651",
            "fax_number": "818-363-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316 WOODLEY AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446916",
            "telephone_number": "818-368-5651",
            "fax_number": "818-363-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINGSOMBOON",
        "first_name": "CHUTIMA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAC LICENSE",
            "identifier": "PA17271",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Pathways Licensed Marriage and Family Therapy Prof. Corp.
• Nextgen Healing
• Vivian Nghe
• Ngan Hoang Ngo, RN
• Nick Ghazaryan Dental Corp (ABC Kids Dental Group)
• Nirvana Recovery Center Inc
• Jennifer Noble, PPS, MS
• North Valley Charter Academy
• North Valley Physical Therapy
• North Valley Physical Therapy Inc

• Physician Assistant in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.