Organization Active NPI

Rungtiwa Weerasethsiri M.D.

  • Primary Care Clinic/Center
  • Merced, CA
National Provider Identifier
1598185688
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A106684 Issued in CA
Legal business name
RUNGTIWA WEERASETHSIRI M.D.
Practice address
700 W Olive Ave Ste D
Merced, CA 95348-2435
Phone
(209) 383-1343
Fax
(209) 383-5291
NPI assigned
Apr 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rungtiwa Weerasethsiri, M.D.
Title
M.D./President
Phone
(209) 383-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A106684 CA Primary

Addresses

Primary practice location

700 W Olive Ave Ste D
Merced, CA 95348-2435

Mailing address

700 W Olive Ave Ste D
Merced, CA 95348-2435
Phone (209) 383-1343

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1598185688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W OLIVE AVE STE D",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482435",
            "telephone_number": "209-383-1343",
            "fax_number": "209-383-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OLIVE AVE STE D",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482435",
            "telephone_number": "209-383-1343",
            "fax_number": "209-383-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNGTIWA WEERASETHSIRI M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "WEERASETHSIRI",
        "authorized_official_first_name": "RUNGTIWA",
        "authorized_official_title_or_position": "M.D./PRESIDENT",
        "authorized_official_telephone_number": "209-383-1343",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A106684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.