Active NPI
Patarapha Wongsaroj, M.D.
- Nephrology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A119992
- Practice address
- 8635 W 3Rd St Ste 1195W
Los Angeles, CA 90048-6146 - Phone
- (310) 423-8663
- NPI assigned
- Jul 16, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 241226 | MA | |
| Nephrology Physician | 207RN0300X | A119992 | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St Ste 1195W
Los Angeles, CA 90048-6146
Mailing address
829 S Le Doux Rd Apt 3
Los Angeles, CA 90035-1852
Phone (508) 615-2015
Other practice location 1
1530 Hillhurst Ave
Los Angeles, CA 90027-5516
Phone (323) 644-3880
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (818) 653-4889
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241226 | MA | MD | Internal Medicine Physician |
| A119992 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patarapha Wongsaroj MD PC | Nephrology | Current | Accepting new patients |
Locations
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- pwongsaroj180706@direct.cshs.org
Organizations & group practices 2
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.
-
- Nephrology Physician
- West Hollywood, CA
- NPI 1619720844
-
- Nephrology Physician
- Beverly Hills, CA
- NPI 1629167861
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1174753784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 S LE DOUX RD APT 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351852",
"telephone_number": "508-615-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 1195W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486146",
"telephone_number": "310-423-8663"
}
],
"practiceLocations": [
{
"address_1": "1530 Hillhurst Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900275516",
"country_code": "US",
"telephone_number": "323-644-3880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONGSAROJ",
"first_name": "PATARAPHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "241226",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A119992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.