DR. PRASERT BASIL VASSANTACHART (NPI# 1295720050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295720050 |
| Entity Type | Individual |
| Full Name | DR. PRASERT BASIL VASSANTACHART |
| Other Name | DR. BASIL P VASSANTACHART |
| Credential | MD |
| Practice Address |
841 W Valley Blvd Suite 104 Alhambra CA 91803-3251 |
| Practice Telephone | 6262823113 |
| Practice Fax Number | 6262899179 |
| Mailing Telephone | 6262823113 |
| Mailing Fax Number | 6262899179 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2011-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G44008 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G440080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811246325 | Prasert Basil Vassantachart Jr. | Pharmacist | 841 W Valley Blvd, Suite 104, Alhambra, CA 91803-3251 | 2012-08-30 |
| Street Address |
841 W VALLEY BLVD SUITE 104 |
| City | ALHAMBRA |
| State | CA |
| Zip Code | 91803-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215311394 | Mike Tran Dds, A Professional Dental Corporation | Preferred Provider Organization | 841 W Valley Blvd, Suite# 105, Alhambra, CA 91803-3251 | 2015-07-17 |
| 1215368626 | Wai Kei Wong | Nurse Practitioner | 841 W Valley Blvd, Suite 107, Alhambra, CA 91803-3251 | 2013-12-11 |
| 1811246325 | Prasert Basil Vassantachart Jr. | Pharmacist | 841 W Valley Blvd, Suite 104, Alhambra, CA 91803-3251 | 2012-08-30 |
| 1033349113 | Yen-po Liu | Podiatrist | 841 W Valley Blvd, Ste 102, Alhambra, CA 91803 | 2009-07-22 |
| 1508942087 | Abc Pharmacy Enterprises Inc | Pharmacy | 841 W Valley Blvd, Ste 101, Alhambra, CA 91803-3251 | 2006-10-27 |
| 1700835998 | Riyanto Quemena | Podiatrist | 841 W Valley Blvd, Suite#102, Alhambra, CA 91803-3251 | 2006-05-08 |
| 1376538132 | Valley Physicians Medical Group, Inc. | Family Medicine | 841 W Valley Blvd, Suite 104, Alhambra, CA 91803-3251 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1932768421 | Lorna Lynch | Student in an Organized Health Care Education/Training Program | Lorna Lynch, 1000 S Freemont, Unit 5, Alhambra, CA 91803 | 2019-06-10 |
| 1114409281 | Roslynn Stone | Pharmacist | 1000 S. Fremont, A10n Suite 10150, Alhambra, CA 91803 | 2018-09-05 |
| 1598250615 | Motherly Comfort Home Care, LLC | In Home Supportive Care | 300 W Valley Blvd # 911, Alhambra, CA 91803 | 2018-06-30 |
| 1922510858 | Christina Arez | Behavioral Analyst | 1000 Freemont Ave., Bldg A5, Suite 5100, Unit 81, Alhambra, CA 91803 | 2017-11-01 |
| 1508312182 | Tiffany Chan | Occupational Therapist | 1000 S Fremont Ave., Alhambra, CA 91803 | 2016-09-01 |
| 1194123323 | Jessica Kuo | Pharmacist | 1800 S. 5th Street, Alhambra, CA 91803 | 2014-12-22 |
| 1467861096 | Second Wind Home Health Inc | Home Health | 2225 W. Commonwealth Ave Sutie 213, Alhambra, CA 91803 | 2014-08-07 |
| 1306254800 | Sum Li, Dds, Inc. | Dentist | 2311 West Valley Blvd., Alhambra, CA 91803 | 2014-07-28 |
| 1518380443 | Qiuchen Tu | Behavioral Analyst | 506 S. Palm Ave., Alhambra, CA 91803 | 2014-01-29 |
| Find all providers in zip 91803 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1740625813 | Jonathan Yun-hong Wu | General Practice | 55 S Raymond Ave Ste 105, Alhambra, CA 91801-7101 | 2013-05-02 |
| 1568717346 | Winfred John Lee | General Practice | 88 E Bay State St, 1-n, Alhambra, CA 91801-6820 | 2012-07-18 |
| 1104194299 | Michelle Dominique De Santo | General Practice | 1001 S Garfield Ave, Alhambra, CA 91801-4772 | 2011-12-05 |
| 1922589670 | Cheng Luo | General Practice | 4225 Tweedy Blvd, Alhambra, CA 91803 | 2018-08-21 |
| 1720452154 | Chan United Medical Group, Inc | General Practice | 1001 S Garfield Ave, Alhambra, CA 91801-4772 | 2015-11-23 |
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| Find all providers with the same taxonomy | ||||
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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.