Active NPI
Vibul Tangpraphaphorn M.D., Inc
- Family Medicine Physician
- Taft, CA
National Provider Identifier
1982698007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A33497
- Legal business name
- VIBUL TANGPRAPHAPHORN M.D., INC
- Practice address
- 109 Adkisson Way
Taft, CA 93268-3600 - Phone
- (661) 765-4124
- Fax
- (661) 765-6498
- NPI assigned
- Sep 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vibul Tangpraphaphorn, M.D.
- Title
- Physician
- Phone
- (661) 765-4124
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A33497 | CA | Primary |
Addresses
Primary practice location
109 Adkisson Way
Taft, CA 93268-3600
Mailing address
109 Adkisson Way
Taft, CA 93268-3600
Phone (661) 765-4124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
109 Adkisson Way
Taft, CA 93268
Phone 6613272747217
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": "1125619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1982698007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 ADKISSON WAY",
"city": "TAFT",
"state": "CA",
"postal_code": "932683600",
"telephone_number": "661-765-4124",
"fax_number": "661-765-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 ADKISSON WAY",
"city": "TAFT",
"state": "CA",
"postal_code": "932683600",
"telephone_number": "661-765-4124",
"fax_number": "661-765-6498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIBUL TANGPRAPHAPHORN M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-02",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "TANGPRAPHAPHORN",
"authorized_official_first_name": "VIBUL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "661-765-4124",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A33497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taft, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.