Active NPI
Dumrong Tangchitnob, M.D.
- Obstetrics & Gynecology Physician
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A42027
- Practice address
- 1135 S Sunset Ave
Ste.# 102
West Covina, CA 91790-3937 - Phone
- (626) 338-5377
- Fax
- (626) 851-8822
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A42027 | CA | Primary |
Addresses
Primary practice location
1135 S Sunset Ave
Ste.# 102
West Covina, CA 91790-3937
Mailing address
1135 S Sunset Ave
Ste.# 102
West Covina, CA 91790-3937
Phone (626) 338-5377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A420270 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1135 S Sunset Ave
Suite 102
West Covina, CA 91790-3938
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A42027 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casa Colina Hospital and Centers for Healthcare | Current | Accepting new patients | |
| Dumrong Tangchitnob MD Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Emanate Health Medical Center | Past | Accepting new patients | |
| Emanate Health Medical Center | Past | Accepting new patients | |
| Emanate Health Foothill Presbyterian Hospital | Past | Accepting new patients |
Locations
1135 S Sunset Ave
Ste 102
West Covina, CA 91790
Phone (626) 338-5377
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dumrongtangchitnob@dumrongtan.allscriptsdirect.net
- casacolina@direct.casacolina.org
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.
-
- Obstetrics & Gynecology Physician
- West Covina, CA
- NPI 1295834695
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1487752374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 S SUNSET AVE",
"address_2": "STE.# 102",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903937",
"telephone_number": "626-338-5377",
"fax_number": "626-851-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 S SUNSET AVE",
"address_2": "STE.# 102",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903937",
"telephone_number": "626-338-5377",
"fax_number": "626-851-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANGCHITNOB",
"first_name": "DUMRONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A42027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A420270",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.