Nitiporn Suwanannuch, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

706807 Issued in CA

Practice address

245 11TH St
San Francisco, CA 94103-3732

Phone

(415) 431-9000

NPI assigned

Dec 23, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1215576210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6796 MISSION ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142031",
            "telephone_number": "650-991-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 11TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033732",
            "telephone_number": "415-431-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Market St Fl 1",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941031509",
            "country_code": "US",
            "telephone_number": "415-863-3883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUWANANNUCH",
        "first_name": "NITIPORN",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "706807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Joseph Sutton, MFT
• Shamyka Sutton, M.S.
• William Keith Sutton, PSY.D.
• Rebecca Suval
• Monchaya Suwanamalik Murphy
• Sandra Suzaki, PHARM
• Valdis Arturs Svans, D.D.S.
• Kylie Svenson, MSW
• Svensson DDS Inc. (SF Pediatric Dentistry)
• Kristina Svensson, D.D.S.

• Licensed Vocational Nurse in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.