Active NPI
Sarin Prakobwanakit, M.D.
- Family Medicine Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A126532
- Practice address
- 520 Superior Ave Ste 360
Newport Beach, CA 92663-3668 - Phone
- (949) 644-1025
- Fax
- (949) 644-7852
- NPI assigned
- Mar 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A126532 | CA | Primary |
Addresses
Primary practice location
520 Superior Ave Ste 360
Newport Beach, CA 92663-3668
Mailing address
PO Box 2493
Newport Beach, CA 92659-1493
Phone (657) 241-3600
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Irvine, California College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533
500 Superior Ave
Suite 270
Newport Beach, CA 92663-3657
Phone (949) 791-3370
Hospital & facility affiliations
- Hoag Home Health
- Hoag Memorial Hospital Presbyterian
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 84.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.24
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126532 | CA | MD | Mental Health Counselor |
| A126532 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Clinic | Current | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Hoag Hospital | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Brotman Medical Center, Inc. | Past | Accepting new patients |
Locations
520 Superior Ave
Ste 360
Newport Beach, CA 92663
Phone (949) 644-1025
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
Interoperability endpoints
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- Skilled Nursing Facility
- Culver City, CA
- NPI 1518997733
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport Beach, CA
- NPI 1174192892
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1477828820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2493",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926591493",
"telephone_number": "657-241-3600",
"fax_number": "657-241-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SUPERIOR AVE STE 360",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633668",
"telephone_number": "949-644-1025",
"fax_number": "949-644-7852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAKOBWANAKIT",
"first_name": "SARIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A126532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.