Pitchaya Pam Chitamitara, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A128850 Issued in CA

Practice address

1294 W 6TH St Ste 104
San Pedro, CA 90731-2990

Phone

(310) 548-9118

NPI assigned

Jul 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: pchitamitara454607@oc.providencedirect.org

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1780971010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 W 6TH ST STE 104",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312990",
            "telephone_number": "310-548-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 W 6TH ST STE 104",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312990",
            "telephone_number": "310-548-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITAMITARA",
        "first_name": "PITCHAYA",
        "middle_name": "PAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A128850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Michael Chen, L.AC.
• Kendall Allison Cheney
• Christine N Chileshe, MD
• Mabel Vargas Chinchay
• Ana Jacqueline Chirakian, RADT
• Christopher a Zahiri M.D. Medical Corporation
• Christopher F. Amsden, MD, Inc.
• Esther Jung Min Chu, DDS
• Jessica Sara Ciaramitaro
• Nancy Elena Cid, DOULA (CBD)

• Pediatrics Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.