Suwapang Pattummadith, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A32823 Issued in CA

Practice address

1818 N Orange Grove
Ste 104
Pomona, CA 91767-3028

Phone

(909) 592-2816

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Dermatology

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health and Life Organization, IncGroup PAC ID 1153361886, shared by 7 NPIs, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• S Patt MD Inc

  • Dermatology Physician
  • Pomona, CA
  • NPI 1730373101
  NPD Authorized official
• Chaparral Medical Group Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Pomona, CA
  • NPI 1114989241
  NPD (past)
• Health and Life Organization, Inc

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1144600248
  NPD (past)
• Health and Life Organization, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1427715515

  Dermatology

  NPD (past)
• Health and Life Organization, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1538180245
  NPD (past)
• S Patt MD Inc

  • Dermatology Physician
  • Lynwood, CA
  • NPI 1700061298
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1821037581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N ORANGE GROVE",
            "address_2": "STE 104",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673028",
            "telephone_number": "909-592-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N ORANGE GROVE",
            "address_2": "STE 104",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673028",
            "telephone_number": "909-592-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTUMMADITH",
        "first_name": "SUWAPANG",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A32823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A328231",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WA32823A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Patrick, M.D.
• Roshni Patrick, M.D.
• Ani Patrikyan
• David R Patterson, MD
• Taryn Brooke Patterson
• Geeta Jayantilal Patwa, MD
• Atharv Chintamani Patwardhan, M.D.
• Tiffany Paul
• Paulino a Villatoro, MD PC
• Anna F Pavlov, PH.D

• Dermatology Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.

Verify at the official NPI Registry.