Chutiwan N/a Tanasapphaisal

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95041548 Issued in CA

Practice address

10800 Magnolia Ave
Riverside, CA 92505-3043

Phone

(213) 344-9236

NPI assigned

Oct 20, 2026

Last updated

Oct 20, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1851297337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E DATE PALM PASEO APT 3028",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917647629",
            "telephone_number": "213-344-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053043",
            "telephone_number": "213-344-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANASAPPHAISAL",
        "first_name": "CHUTIWAN",
        "middle_name": "N/A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95041548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waylee Tan, MD
• Xin Tan
• Brittney K Tanaka, PT, DPT
• Doris J Tanaka, CRNA
• Karl Tanara, M.D.
• Ruxandra Elena Tanase, ACSW
• Adina Tanasescu, M.D.
• Amola Tandon
• Ashley Tang
• Bryan Tang, DO

• Family Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.