DR. CHANATIP SUKSANG (NPI# 1497977102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497977102 |
| Entity Type | Individual |
| Full Name | DR. CHANATIP SUKSANG |
| Credential | M.D. |
| Practice Address |
1220 Rossmoor Pkwy Walnut Creek CA 94595-2501 |
| Mailing Address |
Dept 34929 P.o. Box 39000 San Francisco CA 94139-0001 |
| Practice Telephone | 9259391220 |
| Mailing Telephone | 9259522828 |
| Mailing Fax Number | 9259522850 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A67844 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1220 ROSSMOOR PKWY |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94595-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508834946 | Lavinia Herbei | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2006-03-10 |
| 1467070052 | Sara Lynn Gamble | Physical Therapist | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2020-07-09 |
| 1346778909 | Anusha Bakshi | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2017-05-26 |
| 1811420243 | Sohrab Amiri | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2017-04-03 |
| 1295181345 | Jason Simon Cheng Md Inc | Neurological Surgery | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2016-05-09 |
| 1780068775 | Gurveen Chahal | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595 | 2015-07-20 |
| 1952783029 | Vasili Dzerhachou | Hospitalist | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595 | 2015-06-24 |
| 1457739161 | Mandakini Hersh Patel | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595 | 2015-05-13 |
| 1386039873 | Marvi Verma Rijhwani | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595 | 2015-04-01 |
| 1063827301 | Gurinder Singh | Internal Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2014-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740770916 | Paul Vincent Holland | Pathology | 1821 Wales Drive, Walnut Creek, CA 94595 | 2018-05-14 |
| 1669979381 | Alpha Pharmaceutical Inc | Pharmacy | 1870 Tice Valley Blvd, Walnut Creek, CA 94595 | 2018-04-09 |
| 1104245711 | Lillian Darlene Lanka | Obstetrics & Gynecology | 634 Shadowhawk Way, Walnut Creek, CA 94595 | 2014-04-10 |
| 1376969774 | Richard Allen Kaplan | Obstetrics & Gynecology | 1808 Castle Gate Road, Walnut Creek, CA 94595 | 2014-03-10 |
| 1619302692 | Karl Erik Engdahl | Dentist | 2225 Olympic Bovlevard, Walnut Creek, CA 94595 | 2013-09-09 |
| 1609186733 | Theresa Virginia Iverson | Physical Therapist | 1874 Tice Valley Blvd., Walnut Creek, CA 94595 | 2010-10-07 |
| 1285867606 | Gayle Dendaas | Marriage & Family Therapist | 94 Grandview Place, Walnut Creek, CA 94595 | 2009-09-02 |
| 1982861126 | Mai-anh Thi Tran | Nurse Practitioner | 1475 South Main St, Walnut Creek, CA 94595 | 2008-05-16 |
| 1467620229 | Sean A Karimian Dds Inc | Dentist | 1928 Tice Valley Blvd, Walnut Creek, CA 94595 | 2008-02-14 |
| 1548383318 | Csg Better Hearing Services, Inc. | Audiologist-Hearing Aid Fitter | 31 Panoramic Way, 1st Fl, Walnut Creek, CA 94595 | 2007-04-09 |
| Find all providers in zip 94595 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386956969 | Doertlis Kuschel Schultze-allen | Family Medicine | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2010-07-12 |
| 1437277282 | Mary Lucille Boegel | Family Medicine | 1455 Montego, #104, Walnut Creek, CA 94598-2990 | 2007-03-27 |
| 1578521928 | Ritu Singhal | Family Medicine | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94595 |
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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.