Individual provider Active NPI

Jatturong Ron Wichianson, M.D.

  • Anesthesiology Physician
  • Torrance, CA
National Provider Identifier
1942736509
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A160092 Issued in CA
Practice address
1000 W Carson St
Torrance, CA 90509
Phone
(616) 634-4756
NPI assigned
May 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A160092 CA Primary

Addresses

Primary practice location

1000 W Carson St
Torrance, CA 90509

Mailing address

1000 W Carson St BLDG 1-East
Torrance, CA 90502-2004
Phone (310) 222-2345

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
I20210812003416 CA Practitioner - Anesthesiology 5193129179 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160092CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
California Anesthesia Associates Medical Group, Inc. Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients

Locations

24451 Health Center Dr
#104
Laguna Hills, CA 92653

2880 Atlantic Ave
Ste 160
Long Beach, CA 90806
Phone (562) 453-3814

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300

Interoperability endpoints

  • Direct secure messaging: jwichianson742856@direct.memorialcare.org

Organizations & group practices 5

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": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1942736509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST BLDG 1-EAST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90509",
            "telephone_number": "616-634-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHIANSON",
        "first_name": "JATTURONG",
        "middle_name": "RON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A160092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.