Individual provider Active NPI

Pauli Amornkul, MD

  • Public Health & General Preventive Medicine Physician
  • San Francisco, CA
National Provider Identifier
1720337306
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
231851 Issued in AZ
Practice address
50 Beale Street
Suite 1300, Iavi-Caps
San Francisco, CA 94105
Phone
(646) 577-9589
Fax
(415) 597-9327
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 231851 AZ
Public Health & General Preventive Medicine Physician 2083P0901X 231851 AZ Primary

Addresses

Primary practice location

50 Beale Street
Suite 1300, Iavi-Caps
San Francisco, CA 94105

Mailing address

50 Beale Street
Suite 1300, Iavi-Caps
San Francisco, CA 94105
Phone (646) 577-9589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
231851AZMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1720337306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BEALE STREET",
            "address_2": "SUITE 1300, IAVI-CAPS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94105",
            "telephone_number": "646-577-9589",
            "fax_number": "415-597-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEALE STREET",
            "address_2": "SUITE 1300, IAVI-CAPS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94105",
            "telephone_number": "646-577-9589",
            "fax_number": "415-597-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMORNKUL",
        "first_name": "PAULI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "231851",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "AZ",
            "license": "231851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.