Warakorn Thepsutam

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

76878 Issued in CA

Practice address

270 26TH Ave Apt 8
San Francisco, CA 94121-1153

Phone

(415) 632-7131

NPI assigned

Oct 23, 2020

Last updated

Oct 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1467051078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 26TH AVE APT 8",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211153",
            "telephone_number": "415-632-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 26TH AVE APT 8",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211153",
            "telephone_number": "415-632-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEPSUTAM",
        "first_name": "WARAKORN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "76878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip V Theodosopoulos, M.D.
• Amanda Yvette Theolet, CLINICAL NURSE LEADE
• Jessica Ann Theologidy, NP
• Alexander Antonios Theologis, M.D.
• Bounchanh Thepkaysone, HEALTH WORKER 3
• Therapeutic Integrative Psychotherapy Clinic, Inc.
• Therapia Health Management Inc.
• Therapista, Inc.
• Therapy in Depth
• Therapy Now SF

• Massage Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.