Individual provider Active NPI

Tepsiri Chongkrairatanakul, MD

  • Nephrology Physician
  • San Diego, CA
National Provider Identifier
1982806329
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C157995 Issued in CA
Practice address
8010 Frost St Ste 100
San Diego, CA 92123-4222
Phone
(858) 637-4700
Fax
(858) 637-4701
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X C157995 CA Primary

Addresses

Primary practice location

8010 Frost St Ste 100
San Diego, CA 92123-4222

Mailing address

9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Phone (858) 810-8000

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
I20181011001691 CA Practitioner - Nephrology 5890934210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

8885 Rio San Diego Dr
Suite 212
San Diego, CA 92108-1626
Phone (619) 299-2350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C157995CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Balboa Nephrology Medical Group,Inc. CurrentSince Sep 5, 2018 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Dec 1, 2018 Accepting new patients
Balboa Nephrology Medical Group, Inc. Nephrology CurrentSince Sep 5, 2018 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

737 W Hobsonway
Blythe, CA 92225
Phone (760) 922-4415

4225 Executive Sq
Ste 450
La Jolla, CA 92037
Phone (858) 810-8000

3300 Vista Way
Ste B
Oceanside, CA 92056
Phone (760) 967-9569

4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350

8010 Frost St
Ste 100
San Diego, CA 92123
Phone (858) 637-4700

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

9373 Hazard Way
Ste 200
San Diego, CA 92123
Phone (858) 810-8000

9610 Granite Ridge Dr
Ste B
San Diego, CA 92123
Phone (858) 499-1900

8010 Frost St
Ste 510
San Diego, CA 92123
Phone (858) 278-9900

31565 Rancho Pueblo Rd
Ste 205
Temecula, CA 92592
Phone (760) 922-4415

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tchongkrairatankul12121@direct.acumenmd.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1982806329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 HAZARD WAY STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231226",
            "telephone_number": "858-810-8000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 FROST ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234222",
            "telephone_number": "858-637-4700",
            "fax_number": "858-637-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONGKRAIRATANAKUL",
        "first_name": "TEPSIRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C157995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.