Active NPI
Chanida Siripraparat, MD, MPH
- Geriatric Psychiatry Physician
- San Jose, CA
National Provider Identifier
1922028455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 4301104128
- Practice address
- 2400 Moorpark Ave Ste 220B
San Jose, CA 95128 - Phone
- (888) 334-1000
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | D0069241 | MD | |
| Geriatric Psychiatry Physician | 2084P0805X | 4301104128 | MI | Primary |
Addresses
Primary practice location
2400 Moorpark Ave Ste 220B
San Jose, CA 95128
Mailing address
2443 Fillmore St Ste 380-8140
San Francisco, CA 94115-1814
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 584939 | Other | HI | ALOHACARE |
| 584939 | Medicaid | HI | |
| A584939 | Other | HI | ALOHACARE ADVANTAGE |
| 0000261388 | Other | HI | HMSA BLUE CROSS BLUE SHIE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0069241 | MD | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kokua Kalihi Valley Comprehensive Family Services | Past | Accepting new patients | |
| Kokua Kalihi Valley Comprehensive Family Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Honolulu, HI
- NPI 1114074622
-
- Federally Qualified Health Center (FQHC)
- Honolulu, HI
- NPI 1952994238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1922028455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2443 FILLMORE ST STE 380-8140",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MOORPARK AVE STE 220B",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "888-334-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRIPRAPARAT",
"first_name": "CHANIDA",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MD",
"license": "D0069241",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MI",
"license": "4301104128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHACARE",
"identifier": "584939",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "584939",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHACARE ADVANTAGE",
"identifier": "A584939",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BLUE CROSS BLUE SHIE",
"identifier": "0000261388",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.