Organization Active NPI

Thutrang DO, D.O.Inc.

  • Internal Medicine Physician
  • Lawndale, CA
National Provider Identifier
1972614758
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A8885 Issued in CA
Legal business name
THUTRANG DO, D.O.INC.
Doing business as
DO MEDICAL, INC
Practice address
15735 Hawthorne Blvd Ste 111
Lawndale, CA 90260-0000
Phone
(310) 675-1300
Fax
(310) 675-1461
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Thutrang DO, D.O.
Title
President
Phone
(310) 213-1453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20A8885 CA Primary

Addresses

Primary practice location

15735 Hawthorne Blvd Ste 111
Lawndale, CA 90260-0000

Mailing address

15735 Hawthorne Blvd Ste 111
Lawndale, CA 90260-0000
Phone (310) 675-1300

Other identifiers 1

IdentifierTypeStateIssuer
00AX88850MedicaidCA

Other names 1

  • DO MEDICAL, INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061204000494 CA Part B Supplier - Clinic/Group Practice 9032118997 Receives reassigned benefits from 1 practitioner
Practice locations: Lawndale, CA

National Provider Directory

National Provider Directory
Tax ID family
DO Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1972614758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15735 HAWTHORNE BLVD STE 111",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902600000",
            "telephone_number": "310-675-1300",
            "fax_number": "310-675-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15735 HAWTHORNE BLVD STE 111",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902600000",
            "telephone_number": "310-675-1300",
            "fax_number": "310-675-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUTRANG DO, D.O.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "THUTRANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-213-1453",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX88850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DO MEDICAL, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.