Individual provider Active NPI

Nathan Pirakitikulr, MD, PHD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Solana Beach, CA
National Provider Identifier
1700316817
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
A171565 Issued in CA
Practice address
531 N Highway 101
Solana Beach, CA 92075-1132
Phone
(858) 529-9973
NPI assigned
Jun 13, 2017
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X A171565 CA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X A171565 CA Primary

Addresses

Primary practice location

531 N Highway 101
Solana Beach, CA 92075-1132

Mailing address

531 N Highway 101
Solana Beach, CA 92075-1132
Phone (858) 529-9973

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (800) 329-7000

Other practice location 2

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7210

Other practice location 3

100 Stein Plz
Los Angeles, CA 90095-3308
Phone (310) 825-3090

Other practice location 4

625 S Fair Oaks Ave Ste 280
Pasadena, CA 91105-2670
Phone (626) 817-4747

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210528001223 CA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 4082985015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Yale University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foster and Garff Surgical Associates IncGroup PAC ID 5890148605, 3 clinicians

Practice addresses (Care Compare)

2124 S El Camino Real
Suite 100
Oceanside, CA 92054-6211
Phone (760) 729-7101

531 N Hwy 101
Solana Beach, CA 92075-1132
Phone (858) 500-5851

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171565CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 12, 2024 Accepting new patients
Cloe Ophthalmic Plastic and Reconstructive Surgery CurrentSince Jun 27, 2023 Accepting new patients
Foster and Garff Surgical Associates Inc CurrentSince Aug 15, 2024 Accepting new patients

Locations

2124 S El Camino Real
Ste 100
Oceanside, CA 92054
Phone (760) 729-7101

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

531 N Highway 101
Solana Beach, CA 92075
Phone (858) 500-5851

Interoperability endpoints

  • Direct secure messaging: npirakimd@davieseye.emadirect.md

Organizations & group practices 3

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1700316817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 N HIGHWAY 101",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751132",
            "telephone_number": "858-529-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N HIGHWAY 101",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751132",
            "telephone_number": "858-529-9973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "800-329-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Stein Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953308",
            "country_code": "US",
            "telephone_number": "310-825-3090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 S Fair Oaks Ave Ste 280",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052670",
            "country_code": "US",
            "telephone_number": "626-817-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRAKITIKULR",
        "first_name": "NATHAN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A171565",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A171565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

Verify at the official NPI Registry.