Thawat Eosakul,M.D.Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A32349 Issued in CA

Legal business name

THAWAT EOSAKUL,M.D.INC.

Practice address

16860 Seville Ave
Fontana, CA 92335-3561

Phone

(909) 350-3091

Fax

(909) 350-1172

NPI assigned

Jun 14, 2010

Last updated

Jun 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thawat Eosakul, M.D.NPI 1811904519

Title

President

Phone

(909) 350-3091

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thawat Eosakul, M.D.

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1811904519
  Authorized official Same address or phone

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1285955278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16860 SEVILLE AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353561",
            "telephone_number": "909-350-3091",
            "fax_number": "909-350-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16860 SEVILLE AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353561",
            "telephone_number": "909-350-3091",
            "fax_number": "909-350-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAWAT EOSAKUL,M.D.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "EOSAKUL",
        "authorized_official_first_name": "THAWAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-350-3091",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A32349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Macalalad Teves
• Bensen Thanh Thai
• Emmy Thai, OD
• Rachel Thai, DDS
• Cherry Patricia Thangaraj, FNP-C
• Thayer Language Partners TLP Corporation
• Abbott Thayer
• The Healthy L.E.O. Corp.
• The Wheelchair Guy LLC
• Robert M. Theal, MD

• Clinic/Center in Fontana, CA
• Providers in Fontana, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.