Individual provider Active NPI

Saowaree Ponrartana, MD

  • Pediatrics Physician
  • Santa Ana, CA
National Provider Identifier
1225131857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A35227 Issued in CA
Practice address
3526 West First Street
Santa Ana, CA 92703-3302
Phone
(714) 839-6611
Fax
(714) 839-6612
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A35227 CA Primary

Addresses

Primary practice location

3526 West First Street
Santa Ana, CA 92703-3302

Mailing address

19202 Doe Run
Santa Ana, CA 92705-2861
Phone (714) 839-6611

Other identifiers 1

IdentifierTypeStateIssuer
00A352270MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000212 CA Practitioner - Pediatric MedicinePractitioner - General Practice 0749306827 Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A35227CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sornya Ponrartana MD Inc PastSince Jun 11, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225131857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19202 DOE RUN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052861",
            "telephone_number": "714-839-6611",
            "fax_number": "714-839-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 WEST FIRST STREET",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033302",
            "telephone_number": "714-839-6611",
            "fax_number": "714-839-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONRARTANA",
        "first_name": "SAOWAREE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A35227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A352270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.