Nuntaya Jiras, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

48758 Issued in CA

Practice address

103 Bodin Cir BLDG 778
Travis Afb, CA 94535-1801

Phone

(707) 437-1802

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1629138334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BODIN CIR BLDG 778",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351801",
            "telephone_number": "707-437-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BODIN CIR BLDG 778",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351801",
            "telephone_number": "707-437-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRAS",
        "first_name": "NUNTAYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "48758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Joseph Jerdee, M.D.
• Robert Arno Jesinger, M.D.
• David Jiang, MD
• Jeremy Dale Jinkerson, PHD
• Aikkachai Jiras, M.D.
• Jessica John, M.D.
• Brett C Johnson, D.O.
• David Johnson, MD
• Emily Nicole-Sparks Johnson, MSW, LCSW
• Lane Johnson

• All providers in Travis Afb, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.