Active NPI
Nathan Pirakitikulr, MD, PHD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Solana Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- A171565
- Practice address
- 531 N Highway 101
Solana Beach, CA 92075-1132 - Phone
- (858) 529-9973
- NPI assigned
- Jun 13, 2017
- Last updated
- Dec 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Yale University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A171565 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Cloe | Ophthalmic Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Foster and Garff Surgical Associates Inc | Current | 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
- 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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Solana Beach, CA
- NPI 1518642362
-
dba Davies Eye Center
- Ophthalmologic Surgery Clinic/Center
- Oceanside, CA
- NPI 1700664844
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.