Prasert Basil Vassantachart Jr., PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

67993 Issued in CA

Practice address

841 W Valley Blvd
Suite 104
Alhambra, CA 91803-3251

Phone

(626) 282-3113

NPI assigned

Aug 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Physicians Medical Group, Inc.

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1376538132
  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1811246325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20278 E LORENCITA DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 W VALLEY BLVD",
            "address_2": "SUITE 104",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918033251",
            "telephone_number": "626-282-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSANTACHART",
        "first_name": "PRASERT",
        "middle_name": "BASIL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "67993",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "67993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Varela, OTR/L
• Edgar Varela
• Emily Denisse Vargas Jimenez
• Desiree Vargas
• Prasert Basil Vassantachart, MD
• Claudia Vazquez
• Fernando Vazquez
• Erika Liliana Velasquez
• Olga Velazquez Rodriguez
• Veling Tsai MD, Inc

• Pharmacist in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.