NPIMap

Individual provider Active NPI

Robert Boonyaputthikul, D.O.

  • Family Medicine Physician
  • Whittier, CA
National Provider Identifier
1700198801
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11849 Issued in CA
Practice address
15725 Whittier Blvd
Suite 400
Whittier, CA 90603-2347
Phone
(562) 947-1669
Fax
(562) 464-5134
NPI assigned
Jul 6, 2010
Last updated
May 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A11849 CA Primary

Addresses

Primary practice location

15725 Whittier Blvd
Suite 400
Whittier, CA 90603-2347

Mailing address

15725 E. Whittier Blvd.
Suite 400
Whittier, CA 90603
Phone (562) 947-1669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131104000893 CA Practitioner - Family Practice 0345475158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

15725 Whittier Blvd
Whittier, CA 90603-2347
Phone (562) 947-1669

6557 Greenleaf Ave
Whittier, CA 90601-4108

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Pih Health Physicians CurrentSince Sep 16, 2013 Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Sep 16, 2013 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Jun 5, 2017 Accepting new patients
Providence Medical Foundation Family Medicine Current Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients

Locations

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

15725 Whittier Blvd
Whittier, CA 90603
Phone (562) 448-1350

15725 Whittier Blvd
Ste 400
Whittier, CA 90603
Phone (562) 789-5401

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: robertboonyaputthikul@pihh.allscriptsdirect.net

Organizations & group practices 9

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 3

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1700198801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 E. WHITTIER BLVD.",
            "address_2": "SUITE 400",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90603",
            "telephone_number": "562-947-1669",
            "fax_number": "562-464-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 WHITTIER BLVD",
            "address_2": "SUITE 400",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032347",
            "telephone_number": "562-947-1669",
            "fax_number": "562-464-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONYAPUTTHIKUL",
        "first_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.