Chanuwat M. Suntalus, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17843 Issued in CA

Practice address

1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600

Phone

(909) 865-9977

Fax

(909) 469-2119

NPI assigned

Aug 8, 2007

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

Other identifiers 1

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, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Premier Family Medicine Associates, IncGroup PAC ID 4284547522, 65 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.43 of 100Reported as group

Quality

13.12

Promoting interoperability

100

Improvement activities

0

Cost

74.03

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Premier Family Medicine Associates, Inc

  • Health Service Clinic/Center
  • Pomona, CA
  • NPI 1912907114
  Medicare reassignment Care Compare group
• Premier Family Medicine Associates, Inc

  dba Family Health Center

  • Health Service Clinic/Center
  • La Verne, CA
  • NPI 1033634373
  NPD
• Premier Family Medicine Associates, Inc

  dba PVHC at Claremont

  • Health Service Clinic/Center
  • Claremont, CA
  • NPI 1164668786
  NPD

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1518158047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 190",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116600",
            "telephone_number": "626-617-9166",
            "fax_number": "909-469-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 190",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116600",
            "telephone_number": "909-865-9977",
            "fax_number": "909-469-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Chino Ave Ste 150B",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917091295",
            "country_code": "US",
            "telephone_number": "909-630-7868",
            "fax_number": "909-469-2109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Foothill Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917503027",
            "country_code": "US",
            "telephone_number": "909-392-6511",
            "fax_number": "909-469-2137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 W F St",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917623262",
            "country_code": "US",
            "telephone_number": "909-391-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNTALUS",
        "first_name": "CHANUWAT",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518158047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassianna Miranda Summers, AMFT
• Jennifer Chia June Sun, M.D.
• Jenny C Sun, DDS
• Sung Sohn (Ecoterra Hoilistic Pharmacy)
• Irene Riley Sung, M.D.
• Nathan Swan-Prung
• Marianne I. Talukdar, D.D.S.
• Gina Elizabeth Tarango, MASTERS DEGREE
• Whitney Zenna Tawney, RD, CEDRD
• Alexandria Taylor, M.S.

• Physician Assistant in Claremont, CA
• Providers in Claremont, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.