Damrong Pattanumotana, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A039363 Issued in CA

Practice address

2033 Divisadero St
Fresno, CA 93701-2013

Phone

(559) 266-6735

Fax

(559) 266-2207

NPI assigned

Aug 9, 2005

Last updated

May 7, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tejinder S Sandhu M D Inc

  • Obstetrics & Gynecology Physician
  • Sanger, CA
  • NPI 1770798191
  NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1578564902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012013",
            "telephone_number": "559-266-6735",
            "fax_number": "559-266-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012013",
            "telephone_number": "559-266-6735",
            "fax_number": "559-266-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTANUMOTANA",
        "first_name": "DAMRONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A039363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A393630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlene Patrick, APCC
• Christopher Daniel Patrick
• Daniel S Patrick, MD
• Shannon Killian Patrick, CRNA
• Tadd Y Patrick
• Amy Patterson, BCBA
• Deborah Patterson
• Deborah M Patterson, LCSW
• Raina Elaine Patterson
• Gabriel Joseph Patti

• Obstetrics & Gynecology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.