Individual provider Active NPI

Thanjira Jiranantakan, MD

  • Medical Toxicology (Preventive Medicine) Physician
  • San Francisco, CA
National Provider Identifier
1841528437
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Toxicology (Preventive Medicine) PhysicianTaxonomy code 2083T0002X
License
230577 Issued in CA
Practice address
2789 25TH St
Suite 2022
San Francisco, CA 94110-3582
Phone
(415) 533-1995
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Toxicology (Preventive Medicine) Physician 2083T0002X 230577 CA Primary

Addresses

Primary practice location

2789 25TH St
Suite 2022
San Francisco, CA 94110-3582

Mailing address

1359 4TH Ave
San Francisco, CA 94122
Phone (415) 533-1995

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
230577CAMDMedical Toxicology (Preventive Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1841528437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 4TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94122",
            "telephone_number": "415-533-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 25TH ST",
            "address_2": "SUITE 2022",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103582",
            "telephone_number": "415-533-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRANANTAKAN",
        "first_name": "THANJIRA",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083T0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": "CA",
            "license": "230577",
            "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 Nov 20, 2009; 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.