KAEWCHAI PUKTARASIRI (NPI# 1306051131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306051131 |
| Entity Type | Individual |
| Full Name | KAEWCHAI PUKTARASIRI |
| Other Name | KITTY PUKTARASIRI |
| Credential | F.N.P |
| Practice Address |
25775 Mcbean Pkwy Valencia CA 91355-3708 |
| Mailing Address |
Po Box 9602 Mission Hills CA 91346-9602 |
| Practice Telephone | 6614248848 |
| Practice Fax Number | 6614248844 |
| Mailing Telephone | 8188375637 |
| Mailing Fax Number | 8188375589 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NP10549 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
10549 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25775 MCBEAN PKWY |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911460 | Douglas R Gadowski | Internal Medicine | 25775 Mcbean Pkwy, Ste 105, Valencia, CA 91355-3702 | 2005-06-13 |
| 1740634369 | Uc Regents | Clinic/Center | 25775 Mcbean Pkwy, Suite 108, Valencia, CA 91355-3708 | 2016-04-20 |
| 1548686413 | Meadow Surgical Center, LLC | Clinic/Center | 25775 Mcbean Pkwy, Suite 108, Valencia, CA 91355-3708 | 2014-03-14 |
| 1295026417 | George Pan | Anesthesiology | 25775 Mcbean Pkwy, Suite 214, Valencia, CA 91355-3708 | 2011-04-21 |
| 1629390901 | Lawrence Malcolm Mayer | General Practice | 25775 Mcbean Pkwy, 209, Valencia, CA 91355-3708 | 2010-02-27 |
| 1487985347 | Valencia Ambulatory Surgery Center LLC | Clinic/Center | 25775 Mcbean Pkwy, 108, Valencia, CA 91355-3708 | 2010-01-15 |
| 1902130305 | Rajan H. Patel | Internal Medicine | 25775 Mcbean Pkwy, Suite 215, Valencia, CA 91355-3708 | 2009-10-01 |
| 1194978338 | Douglas R. Gadowski Md Inc | Clinic/Center | 25775 Mcbean Pkwy, Suite 105, Valencia, CA 91355-3702 | 2008-10-31 |
| 1811140155 | Douglas Marsall Engh, M.d., F.a.c.s., Inc. | Ophthalmology | 25775 Mcbean Pkwy, Suite 208, Valencia, CA 91355-3708 | 2008-10-30 |
| 1922263474 | Catherine Lolita Finney | Internal Medicine | 25775 Mcbean Pkwy, Valencia, CA 91355-3708 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342141 | Fe Leilani Garcia Oquindo | Nurse Practitioner | 23763 Valencia Blvd., Valencia, CA 91355 | 2005-08-03 |
| 1053301077 | Inna Berdichevsky | Nurse Practitioner | 25775 Mcbean Pkwy, Valencia, CA 91355-3708 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
| 1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
| 1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
| 1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
| 1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
| 1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
| 1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
| 1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
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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.