Organization Active NPI

Thasana Nivatpumin, M.D., Inc.

  • Cardiovascular Disease Physician
  • Beverly Hills, CA
National Provider Identifier
1225364623
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A37300 Issued in CA
Legal business name
THASANA NIVATPUMIN, M.D., INC.
Practice address
9301 Wilshire Blvd
Suite 602
Beverly Hills, CA 90210-6161
Phone
(310) 271-7012
Fax
(310) 271-7842
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Thasana Nivatpumin, M.D.
Title
President
Phone
(310) 271-7012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A37300 CA Primary

Addresses

Primary practice location

9301 Wilshire Blvd
Suite 602
Beverly Hills, CA 90210-6161

Mailing address

PO Box 17298
Beverly Hills, CA 90209-3298
Phone (310) 271-7012

Other identifiers 1

IdentifierTypeStateIssuer
00A373000MedicaidCA

National Provider Directory

National Provider Directory

Locations

9301 Wilshire Blvd
Ste 402
Beverly Hills, CA 90210
Phone (310) 271-7012

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1225364623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17298",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902093298",
            "telephone_number": "310-271-7012",
            "fax_number": "310-271-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD",
            "address_2": "SUITE 602",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106161",
            "telephone_number": "310-271-7012",
            "fax_number": "310-271-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THASANA NIVATPUMIN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "NIVATPUMIN",
        "authorized_official_first_name": "THASANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-271-7012",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A37300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A373000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.