Individual provider Active NPI

Nupporn Priyawat, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1649518481
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C193204 Issued in CA
Practice address
6080 Center Dr FL 6
Los Angeles, CA 90045-9205
Phone
(213) 267-7359
NPI assigned
Jan 29, 2013
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C193204 CA Primary
Internal Medicine Physician 207R00000X TRN15300 FL
Internal Medicine Physician 207R00000X ME115544 FL

Addresses

Primary practice location

6080 Center Dr FL 6
Los Angeles, CA 90045-9205

Mailing address

6080 Center Dr FL 6
Los Angeles, CA 90045-9205
Phone (213) 267-7359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130820000125 FL Practitioner - HospitalistPractitioner - Internal Medicine 7012159130 Reassigns benefits to 1 organization
I20241122000465 CA Practitioner - Internal Medicine 7012159130 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRH Medical GroupGroup PAC ID 1456794866, 25 clinicians
Pairtu Health Medical Group of California PCGroup PAC ID 5395281919, 4 clinicians
Sunrise Medical Associates IncGroup PAC ID 3870805823, 12 clinicians

Practice addresses (Care Compare)

Oakland, CA 94609
Phone (808) 808-2000

6080 Ctr Dr
FL 6
Los Angeles, CA 90045-9205
Phone (669) 231-6870

800 S Main St
Corona, CA 92882-3420
Phone (951) 339-8459

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN15300FLMDInternal Medicine Physician
ME115544FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Im-FSR Inc. Hospitalist CurrentSince Jun 1, 2025 Accepting new patients
Central Florida Hospitalist Partners PA Hospitalist CurrentSince Sep 15, 2013 Accepting new patients
Sunrise Medical Associates Inc Hospitalist CurrentSince Nov 1, 2024 Accepting new patients
Hospitalist Group of Montebello Inc Hospitalist CurrentSince Nov 1, 2024 Accepting new patients
Pairtu Health Medical Group of California P.C. CurrentSince Oct 30, 2025 Accepting new patients
Pairtu Health Medical Group PA Internal Medicine PastSince May 25, 2024 Accepting new patients
DRH Medical Group Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

6080 Center Dr
Fl 6
Westchester, CA 90045
Phone (669) 231-6870

515 Wekiva Commons Cir
Apopka, FL 32712
Phone (407) 464-9516

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1649518481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 CENTER DR FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900459205",
            "telephone_number": "213-267-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 CENTER DR FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900459205",
            "telephone_number": "213-267-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIYAWAT",
        "first_name": "NUPPORN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C193204",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN15300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME115544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.