Active NPI
Natnicha Noppornmongkul, M.D.
- Student in an Organized Health Care Education/Training Program
- Fresno, CA
National Provider Identifier
1558110833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1303 E. Herndon Ave
Saint Agnes Medical Center, Suite 105
Fresno, CA 93720 - Phone
- (559) 450-4637
- NPI assigned
- May 17, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1303 E. Herndon Ave
Saint Agnes Medical Center, Suite 105
Fresno, CA 93720
Mailing address
1303 E. Herndon Ave
Saint Agnes Medical Center, Suite 105
Fresno, CA 93720
Phone (559) 450-4637
Other names 1
- Miss Anchittha Noppornmongkul
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1558110833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 E. HERNDON AVE",
"address_2": "SAINT AGNES MEDICAL CENTER, SUITE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-450-4637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 E. HERNDON AVE",
"address_2": "SAINT AGNES MEDICAL CENTER, SUITE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-450-4637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOPPORNMONGKUL",
"first_name": "NATNICHA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-17",
"last_updated": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANCHITTHA",
"last_name": "NOPPORNMONGKUL",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.