Organization Active NPI

Nattapaun N Thepyasuwan DO Inc

  • Internal Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1366889743
Registry record updated May 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NATTAPAUN N THEPYASUWAN DO INC
Practice address
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone
(310) 786-7204
Fax
(888) 873-9665
NPI assigned
May 26, 2013
Last updated
May 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2013

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

Authorized official

Name
Nattapaun N Thepyasuwan, DONPI 1396050746
Title
President/Owner
Phone
(310) 786-7204

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Mailing address

PO Box 1218
Beverly Hills, CA 90213-1218
Phone (310) 786-7204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130709000700 CA Part B Supplier - Clinic/Group Practice 3577703826 Receives reassigned benefits from 1 practitioner
Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1369526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369526400000",
    "number": "1366889743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902131218",
            "telephone_number": "310-786-7204",
            "fax_number": "888-873-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-786-7204",
            "fax_number": "888-873-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATTAPAUN N THEPYASUWAN DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-26",
        "last_updated": "2013-05-26",
        "status": "A",
        "authorized_official_last_name": "THEPYASUWAN",
        "authorized_official_first_name": "NATTAPAUN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-786-7204",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2013; 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.

Verify at the official NPI Registry.