Voranan Pongquan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

21045 Issued in CA

Practice address

3401 W Sunflower Ave
Suite 250
Santa Ana, CA 92704-6948

Phone

(714) 619-8777

NPI assigned

Oct 7, 2011

Sex

Female

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)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: voranan.pongquan.1@32907.direct.athenahealth.com

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1487938452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W SUNFLOWER AVE",
            "address_2": "SUITE 250",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046948",
            "telephone_number": "714-619-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W SUNFLOWER AVE",
            "address_2": "SUITE 250",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046948",
            "telephone_number": "714-619-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONGQUAN",
        "first_name": "VORANAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "21045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiara Maria Polzonetti, LMFT #126322
• Amanda Pombar
• Paula Pompa-Craven, PSY.D.
• Jeanette Rae Ponce, M.D.
• Yeymi Ponce
• Saowaree Ponrartana, MD
• Sornya Ponrartana, M.D.
• Patrick Christopher Poon, M.D.
• Sara Popal
• Sina Popal

• Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.