Individual provider Active NPI

Sirikanya Chiraroekmongkon, MD

  • Psychiatry Physician
  • Oakland, CA
National Provider Identifier
1619597283
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
196878 Issued in CA
Practice address
101 8TH St Ste 100
Oakland, CA 94607-4707
Phone
(510) 986-6800
NPI assigned
Apr 23, 2020
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 65412 CT
Psychiatry Physician 2084P0800X 196878 CA Primary

Addresses

Primary practice location

101 8TH St Ste 100
Oakland, CA 94607-4707

Mailing address

300 George St Ste 901
New Haven, CT 06511-6662
Phone (203) 785-2095

Other practice location 1

300 George St Ste 901
New Haven, CT 06511-6662
Phone (203) 785-2095

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014002776 CA Practitioner - Psychiatry 4284057340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Univ of Central Florida, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Health ServicesGroup PAC ID 0244271021, 93 clinicians

Practice addresses (Care Compare)

1001 8TH St
Suite 100
Oakland, CA 94607-4707

101 8TH St
Suite 100
Oakland, CA 94607-4707

817 Harrison St
Oakland, CA 94607-4422
Phone (510) 986-0430

818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6800

835 Webster St
Oakland, CA 94607-4219
Phone (510) 318-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
196878CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Health Services CurrentSince Sep 12, 2024 Accepting new patients
Department of State Hospitals CurrentSince Jan 4, 2026 Accepting new patients
Department of State Hospitals CurrentSince Jan 4, 2026 Accepting new patients
Asian Health Services CurrentSince Sep 12, 2024 Accepting new patients
Asian Health Services Current Accepting new patients
Asian Health Services PastSince Jun 1, 2021 Accepting new patients

Locations

2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000

101 8th St
Ste 100
Oakland, CA 94607
Phone (510) 735-3100

818 Webster St
Oakland, CA 94607
Phone (510) 986-6800

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1619597283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GEORGE ST STE 901",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116662",
            "telephone_number": "203-785-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 8TH ST STE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074707",
            "telephone_number": "510-986-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 George St Ste 901",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065116662",
            "country_code": "US",
            "telephone_number": "203-785-2095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIRAROEKMONGKON",
        "first_name": "SIRIKANYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "65412",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "196878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.