Individual provider Active NPI

Chainaronk Limanon, MD

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
National Provider Identifier
1861597528
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OC426780 Issued in CA
Practice address
7248 Southland Park Dr
#103
Sacramento, CA 95831
Phone
(916) 422-6787
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OC426780 CA Primary

Addresses

Primary practice location

7248 Southland Park Dr
#103
Sacramento, CA 95831

Mailing address

7248 Southland Park Dr
#103
Sacramento, CA 95831
Phone (916) 422-6787

Other identifiers 1

IdentifierTypeStateIssuer
C042678MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070327000738 CA Practitioner - Obstetrics/GynecologyPractitioner - General PracticePractitioner - Family Practice 8921102195 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OC426780CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Life Organization, Inc. Obstetrics & Gynecology CurrentSince Jul 9, 2015 Accepting new patients
Health and Life Organization, Inc. CurrentSince Jul 9, 2015 Accepting new patients
Health and Life Organization, Inc Current Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Health and Life Organization, Inc Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Health and Life Organization, Inc. Past Accepting new patients

Locations

965 El Camino Ave
Sacramento, CA 95815
Phone 9166421867 ext. 79003

2200 Del Paso Blvd
Sacramento, CA 95815
Phone (916) 924-7988

3314 Fong Ranch Rd
Sacramento, CA 95834

7215 55th St
Ste B
Sacramento, CA 95823

3301 Fong Ranch Rd
Sacramento, CA 95834
Phone (916) 642-1885

5524 Assembly Ct
Sacramento, CA 95823
Phone (916) 642-1880

3030 Explorer Dr
Sacramento, CA 95827
Phone (916) 642-1885

7275 E Southgate Dr
Ste 204
Sacramento, CA 95823
Phone (916) 428-3788

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861597528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7248 SOUTHLAND PARK DR",
            "address_2": "#103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95831",
            "telephone_number": "916-422-6787",
            "fax_number": "916-422-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7248 SOUTHLAND PARK DR",
            "address_2": "#103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95831",
            "telephone_number": "916-422-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMANON",
        "first_name": "CHAINARONK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "OC426780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C042678",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.