PHATTHANA PENMONGKHON (NPI# 1811503493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811503493 |
| Entity Type | Individual |
| Full Name | PHATTHANA PENMONGKHON |
| Practice Address |
1367 41st Ave San Francisco CA 94122-1206 |
| Practice Telephone | 4159997320 |
| Mailing Telephone | 4159997320 |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8605 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1367 41ST AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94122-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204347 | Christina Michelle Catalano | Physical Therapist | 764 18th Ave, East Brunswick, NJ 94122 | 2020-04-23 |
| 1528536877 | Marnie Kagan Weston | Psychologist | 1300 25th Avenue, Suite 100, San Francisco, CA 94122 | 2018-11-05 |
| 1649785510 | Maria Elena Williams | Registered Nurse | 1755 27th Ave., San Francisco, CA 94122 | 2017-12-13 |
| 1831608264 | Robert Kim | Ophthalmology | 95 Kirkham Avenue, 201, Box 0730, San Francisco, CA 94122 | 2017-09-28 |
| 1558889378 | Brittyn Coleman Nutrition | Dietitian, Registered | 1410 Funston Ave # 1, San Francisco, CA 94122 | 2017-08-31 |
| 1295251635 | Mary Bernadette Flynn | Doula | 1738 23rd Ave, San Francisco, CA 94122 | 2017-08-17 |
| 1740710524 | Kimberly Sui Fan Fung | Registered Nurse | 1279 22nd Ave, San Francisco, CA 94122 | 2017-06-14 |
| 1902335417 | Nadia Fakhoury | Chiropractor | 4027 Judah St, San Francisco, CA 94122 | 2017-06-08 |
| 1124567383 | Demi Pham | Dentist | 2040 Judah St, San Francisco, CA 94122 | 2017-02-21 |
| 1932642998 | Michelle Avonelle Hanley-mills | Counselor | 1326 4th Avenue, San Francisco, CA 94122 | 2016-11-23 |
| Find all providers in zip 94122 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1467051078 | Warakorn Thepsutam | Massage Therapist | 270 26th Ave Apt 8, San Francisco, CA 94121-1153 | 2020-10-23 |
| 1790384550 | Zhijian Zheng | Massage Therapist | 339a W Portal Ave, San Francisco, CA 94127-1411 | 2020-10-22 |
| 1629677935 | Nadezhda Krutikova | Massage Therapist | 950 Pine St Apt 2, San Francisco, CA 94108-2910 | 2020-10-19 |
| 1073120333 | Pamela Yu | Massage Therapist | 69 Maxwell Ct, San Francisco, CA 94103-3575 | 2020-09-30 |
| 1649886482 | Matthew Makahiya | Massage Therapist | 240 Oak St Apt B, San Francisco, CA 94102-5871 | 2020-09-17 |
| 1881209260 | Backspace Mobile Massage Inc | Massage Therapist | 353 Church St, San Francisco, CA 94114-1718 | 2020-09-11 |
| 1346854767 | Zhifen Liang | Massage Therapist | 542 Holyoke St, San Francisco, CA 94134-1737 | 2020-09-02 |
| 1417561127 | Jennifer Leanne Depina | Massage Therapist | 814 43rd Ave, San Francisco, CA 94121-3304 | 2020-09-01 |
| 1366056186 | Sarah Rubin | Massage Therapist | 43 Dore St, San Francisco, CA 94103-3827 | 2020-08-31 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94122 |
Please comment or provide details below to improve the information on PHATTHANA PENMONGKHON.
| 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.