Wipusit Taesombat, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F387 Issued in CA

Practice address

521 Parnassus Ave
C-341
San Francisco, CA 94143-2206

Phone

(415) 476-0762

NPI assigned

Oct 7, 2015

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University of California San Francisco Medical Center

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1144325440
  NPD (past)

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1508237207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JUDAH ST",
            "address_2": "APT# 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222456",
            "telephone_number": "415-758-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARNASSUS AVE",
            "address_2": "C-341",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432206",
            "telephone_number": "415-476-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAESOMBAT",
        "first_name": "WIPUSIT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "F387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayedhedayatollah Tadayon, MD
• Eyouab Tadesse, MD, MS
• Sterling Jamison Tadlock, M.D.
• Seif Amgad Tadroy
• Taotafa Taeleifi
• Henry William Taeusch, MD
• Hasti Tafazoli
• Blain Taffesse, MD
• Afsaneh Tafreshi
• Seyed-Karim Taghaddos, M.D.

• Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.