Ritt Rungsisullatanont

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

8700 Warner Ave Ste 140
Fountain Valley, CA 92708-3209

Phone

(714) 850-7300

NPI assigned

Sep 7, 2022

Last updated

Mar 23, 2024By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OrthowestGroup PAC ID 3072932623, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthowest

  • Orthopaedic Surgery Physician
  • Laguna Woods, CA
  • NPI 1760007330
  Medicare reassignment Care Compare group NPD (past)
• Orthowest

  • Orthopaedic Surgery Physician
  • Los Alamitos, CA
  • NPI 1487246732
  NPD
• Orthowest

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
  • NPI 1497356489

  Physician Assistant

  NPD
• Orthowest

  • Durable Medical Equipment & Medical Supplies
  • Los Alamitos, CA
  • NPI 1710588702
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  Care Compare affiliation
• University of California Irvine

  dba University of California Irvine - Cac Urgent Care

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1508587676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 VIA GANCHO CIR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204117",
            "telephone_number": "562-857-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 WARNER AVE STE 140",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083209",
            "telephone_number": "714-850-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6619 Via Gancho Cir",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906204117",
            "country_code": "US",
            "telephone_number": "562-857-7302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNGSISULLATANONT",
        "first_name": "RITT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Rubin
• Ivan Rudenko, MD
• Monica Isabel Ruiz Pinto
• Danielle Ruiz
• G. Thomas Ruiz, MD
• Jessica Rury
• Russell P Rapoza M D a Professional Corporation
• Danielle Marie Russell
• Kendal Corrine Russell
• Kim Russell, PHARMD

• Physician Assistant in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; 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.

Verify at the official NPI Registry.