BOONSONG ANAN, M.D., INC (NPI# 1164634655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164634655 |
| Entity Type | Organization |
| Organization Name | BOONSONG ANAN, M.D., INC |
| Other Organization Name | BOONSONG ANAN, M.D.,INC |
| Practice Address |
5365 Walnut Ave Suite P Chino CA 91710-2622 |
| Practice Telephone | 9096278521 |
| Practice Fax Number | 9095638202 |
| Mailing Telephone | 9096278521 |
| Mailing Fax Number | 9095638202 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | DR. BOONSONG ANAN (MEDICAL DOCTOR) |
| Authorized Official Telephone | 9096278522 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A316890 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | A316890 | 05 |
| Other Name | Type Code |
|---|---|
| Boonsong Anan, M.D.,INC | Doing Business As Name - Organization |
| Street Address |
5365 WALNUT AVE SUITE P |
| City | CHINO |
| State | CA |
| Zip Code | 91710-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578526620 | Altaf L Ali Md Inc | Internal Medicine | 5365 Walnut Ave, Ste H, Chino, CA 91710-2622 | 2006-04-10 |
| 1649720707 | Benjamin Heredia Chiropractic Inc. | Chiropractor | 5365 Walnut Ave, Suite B, Chino, CA 91710-2622 | 2016-10-12 |
| 1063962884 | Perry Sahagun | Nurse Practitioner | 5365 Walnut Ave, Unit 1, Chino, CA 91710-2622 | 2016-10-05 |
| 1356790281 | Benjamin James Heredia | Chiropractor | 5365 Walnut Ave, Suite B, Chino, CA 91710-2622 | 2016-06-10 |
| 1801132477 | R R Kurwa Md Inc | Clinic/Center | 5365 Walnut Ave, Ste Hi, Chino, CA 91710-2622 | 2012-12-29 |
| 1376722736 | Altaf Lutfe Ali | Internal Medicine | 5365 Walnut Ave, Ste. L, Chino, CA 91710-2622 | 2007-11-01 |
| 1588725659 | Duong Thieu Phung | Obstetrics & Gynecology | 5365 Walnut Ave, Suite A, Chino, CA 91710 | 2006-12-13 |
| 1124193297 | Inland Artificial Limb & Brace | Prosthetic/Orthotic Supplier | 5365 Walnut Ave, Suite K, Chino, CA 91710-2622 | 2006-11-22 |
| 1639189020 | Boonsong Anan | Urology | 5365 Walnut Ave, Suite P, Chino, CA 91710-2622 | 2006-08-08 |
| 1194731588 | San Bernardino Health Medical Group Inc | Specialist | 5365 Walnut Ave, A, Chino, CA 91710-2622 | 2006-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699115972 | David Song | Urology | 5365 Walnut Ave Ste A, Chino, CA 91710-2622 | 2013-07-01 |
| 1639189020 | Boonsong Anan | Urology | 5365 Walnut Ave, Suite P, Chino, CA 91710-2622 | 2006-08-08 |
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|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| 1366924615 | Se H Whang | Urology | 4 Charmony Apt Suite, Laguna Niguel, CA 92677-2900 | 2018-09-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.