Active NPI
Dumrong Tangchitnob MD Inc
- Obstetrics & Gynecology Physician
- West Covina, CA
National Provider Identifier
1295834695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A42027
- Legal business name
- DUMRONG TANGCHITNOB MD INC
- Practice address
- 1135 S Sunset Ave
Ste. #102
West Covina, CA 91790-3937 - Phone
- (626) 338-5377
- Fax
- (626) 851-8822
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dumrong Tangchitnob, M.D.
- Title
- President
- Phone
- (626) 338-5377
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A42027 | CA | Primary |
Addresses
Primary practice location
1135 S Sunset Ave
Ste. #102
West Covina, CA 91790-3937
Mailing address
1135 S Sunset Ave
Ste. #102
West Covina, CA 91790-3937
Phone (626) 338-5377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A420270 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- West Covina, CA
- NPI 1487752374
-
- Obstetrics & Gynecology Physician
- West Covina, CA
- NPI 1396996294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466035200000",
"number": "1295834695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 S SUNSET AVE",
"address_2": "STE. #102",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903937",
"telephone_number": "626-338-5377",
"fax_number": "626-851-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 S SUNSET AVE",
"address_2": "STE. #102",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903937",
"telephone_number": "626-338-5377",
"fax_number": "626-851-8822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUMRONG TANGCHITNOB MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2016-06-16",
"status": "A",
"authorized_official_last_name": "TANGCHITNOB",
"authorized_official_first_name": "DUMRONG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-338-5377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A42027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A420270",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.