Individual provider Active NPI

Natthapon Angsubhakorn, MD

  • Interventional Cardiology Physician
  • Palmdale, CA
National Provider Identifier
1396233193
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A173894 Issued in CA
Practice address
38656 Medical Center Dr Ste a
Palmdale, CA 93551-4695
Phone
(661) 940-4444
Fax
(661) 940-4446
NPI assigned
Apr 26, 2018
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A173894 CA Primary

Addresses

Primary practice location

38656 Medical Center Dr Ste a
Palmdale, CA 93551-4695

Mailing address

11234 Anderson St Ste 2426
Loma Linda, CA 92354-2804
Phone (909) 558-7674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721003432 CA Practitioner - Interventional Cardiology 1153672951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kanwaljit Gill MD IncGroup PAC ID 8729246806, 3 clinicians

Practice addresses (Care Compare)

38656 Medical Ctr Dr
Suite a
Palmdale, CA 93551-4695
Phone (661) 940-4444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173894CAMDInterventional Cardiology Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: natthapon.angsubhakorn.p11@direct.hdmgipa.nextgenshare.com

Organizations & group practices 1

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1396233193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST STE 2426",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-7674",
            "fax_number": "909-651-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38656 MEDICAL CENTER DR STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514695",
            "telephone_number": "661-940-4444",
            "fax_number": "661-940-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGSUBHAKORN",
        "first_name": "NATTHAPON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A173894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.