Organization Active NPI

S Patt MD Inc

  • Dermatology Physician
  • Lynwood, CA
National Provider Identifier
1700061298
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A32823 Issued in CA
Legal business name
S PATT MD INC
Practice address
3621 E MLK Jr BL
#14
Lynwood, CA 90262
Phone
(310) 537-5810
Fax
(310) 537-5876
NPI assigned
Jan 3, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
S PATT MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Mrs. Suwapang Pattammadith, MD
Title
Dermatologist
Phone
(310) 537-5810

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A32823 CA Primary
Dermatopathology Physician 207ND0900X CA
Procedural Dermatology Physician 207NS0135X CA

Addresses

Primary practice location

3621 E MLK Jr BL
#14
Lynwood, CA 90262

Mailing address

3621 E MLK Jr BL
#14
Lynwood, CA 90262
Phone (310) 537-5810

National Provider Directory

National Provider Directory
Part of
S Patt Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1700061298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 E MLK JR BL",
            "address_2": "#14",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-537-5810",
            "fax_number": "310-537-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 E MLK JR BL",
            "address_2": "#14",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-537-5810",
            "fax_number": "310-537-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S PATT MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "S PATT MD INC",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "PATTAMMADITH",
        "authorized_official_first_name": "SUWAPANG",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "310-537-5810",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A32823",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.