Patarapha Wongsaroj MD PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PATARAPHA WONGSAROJ MD PC

Practice address

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Phone

(818) 653-4889

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Patarapha Wongsaroj, MDNPI 1174753784

Title

Owner

Phone

(818) 653-4889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patarapha Wongsaroj, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1174753784
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1619720844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ARNAZ DR APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483823",
            "telephone_number": "818-653-4889",
            "fax_number": "818-862-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "818-653-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATARAPHA WONGSAROJ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "WONGSAROJ",
        "authorized_official_first_name": "PATARAPHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-653-4889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parsley Medical PC
• Brandon D Partovy, DC
• Tigran Parvanian, DPT
• Jacob Thomas Paschke
• Jason David Pasley, D.O.
• Aakash Patel, MD
• Amisha Patel, M.D.
• Jigar Patel, MD
• Kiran Gadani Patel, M.D., M.P.H.
• Kishan Patel

• Nephrology Physician in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.