Individual provider Active NPI

Vilasinee Morkjaroenpong, M.D.

  • Pulmonary Disease Physician
  • Huntington Beach, CA
National Provider Identifier
1346288065
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A76702 Issued in CA
Practice address
20932 Brookhurst St
105
Huntington Beach, CA 92646-6638
Phone
(714) 962-2497
Fax
(714) 962-2537
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A76702 CA
Pulmonary Disease Physician 207RP1001X A76702 CA Primary

Addresses

Primary practice location

20932 Brookhurst St
105
Huntington Beach, CA 92646-6638

Mailing address

20932 Brookhurst St 105
Huntington Beach, CA 92646-6686
Phone (714) 962-2497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160127002587 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7416981782 Reassigns benefits to 3 organizations
Practice locations: Ridgecrest, CA
I20200303001049 MO Practitioner - Pulmonary Disease 7416981782 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76702CAMDClinical Social Worker
A76702CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skaggs Community Hospital Association Pulmonary Disease CurrentSince Mar 1, 2020 Accepting new patients
Clinic Services of California Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Mar 15, 2018 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Skaggs Community Hospital Association CurrentSince Mar 1, 2020 Accepting new patients
Ridgecrest Regional Hospital Past Accepting new patients
Pulmonary Medicine Associates Medical Group, Inc Pulmonary Disease Past Accepting new patients
Ridgecrest Regional Hospital Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

8851 Center Dr
Ste 600
La Mesa, CA 91942
Phone (619) 589-0785

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7600

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

525 Branson Landing Blvd
Ste 508
Branson, MO 65616
Phone (417) 335-7540

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1346288065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20932 BROOKHURST ST 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466686",
            "telephone_number": "714-962-2497",
            "fax_number": "714-962-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20932 BROOKHURST ST",
            "address_2": "105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466638",
            "telephone_number": "714-962-2497",
            "fax_number": "714-962-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORKJAROENPONG",
        "first_name": "VILASINEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76702",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A76702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.