Organization Active NPI

Vibul Tangpraphaphorn M.D., Inc

  • Family Medicine Physician
  • Taft, CA
National Provider Identifier
1982698007
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A33497 Issued in CA
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

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Vibul Tangpraphaphorn, M.D.NPI 1255514253
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20120531000131 CA Part B Supplier - Clinic/Group Practice 5193988103 Receives reassigned benefits from 1 practitioner
Practice locations: Taft, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.