Boonsong Anan, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A316890 Issued in CA

Practice address

5365 Walnut Ave
Suite P
Chino, CA 91710-2622

Phone

(909) 627-8521

Fax

(909) 563-8202

NPI assigned

Aug 8, 2006

Last updated

Nov 16, 2007By 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

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.

• Boonsong Anan, M.D., Inc

  • Urology Physician
  • Chino, CA
  • NPI 1164634655
  Authorized official Same address or phone
• Khaled M. El-Said MD,Inc

  dba Premium Care Clinic

  • Clinic/Center
  • Corona, CA
  • NPI 1386923019
  NPD (past)
• Louie Medical Group, Inc.

  • Urology Physician
  • Chino Hills, CA
  • NPI 1346510484
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1639189020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 WALNUT AVE",
            "address_2": "SUITE P",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102622",
            "telephone_number": "909-627-8521",
            "fax_number": "909-563-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 WALNUT AVE",
            "address_2": "SUITE P",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102622",
            "telephone_number": "909-627-8521",
            "fax_number": "909-563-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAN",
        "first_name": "BOONSONG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A316890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A316890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Current Care of California, a Medical Corporation (Concentra Urgent Care)
• American Current Care of California, a Medical Corporation (Concentra Urgent Care)
• Amity Hospice and Palliative Care, Inc.
• Amplified Care, Inc.
• Dilip Amthabhai
• Ancient Paths Midwifery
• Brandi Anderson
• Cara Anderson, OD
• Kerry Scot Anderson, O.D.
• Angel Concierge Services

• Urology Physician in Chino, CA
• Providers in Chino, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.