Kanokrat Suksompoth (NPI# 1831109131, PAC ID# 7911905773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1831109131 |
| PAC ID by PECOS | 7911905773 |
| Professional Enrollment ID | I20141028001582 |
| Full Name | Kanokrat Suksompoth |
| Organization Legal Name | INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP INC |
| Address |
550 N Monterey Ave Ontario CA 91764-3318 |
| Phone Number | 9093910333 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | INFECTIOUS DISEASE |
| Group Practice PAC ID | 2365455391 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050231 | POMONA VALLEY HOSPITAL MEDICAL CENTER |
| 050099 | SAN ANTONIO REGIONAL HOSPITAL |
| 050782 | CASA COLINA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 550 N Monterey Ave, Ontario, CA 91764-3318 | 9093910333 | INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP INC |
| 1798 N Garey Ave, Pomona, CA 91767-2918 | 9098659500 | INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP INC |
| 255 E Bonita Ave, Pomona, CA 91767-1923 | INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP INC | |
| 999 San Bernardino Rd, Upland, CA 91786-4920 | 9099852811 | INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP INC |
| Organization Legal Name | INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ossama Maloule | Infectious Disease | Inland Valley Infectious Disease Medical Group Inc | 550 N Monterey Ave, Ontario, CA 91764-3318 |
| Daniel P Gluckstein | Infectious Disease | Inland Valley Infectious Disease Medical Group Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
| Irene Bakman | Internal Medicine | Inland Valley Infectious Disease Medical Group Inc | 550 N Monterey Ave, Ontario, CA 91764-3318 |
| John P Mourani | Infectious Disease | Inland Valley Infectious Disease Medical Group Inc | 550 N Monterey Ave, Ontario, CA 91764-3318 |
| Street Address |
550 N MONTEREY AVE |
| City | ONTARIO |
| State | CA |
| Zip | 91764-3318 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ossama Maloule | Infectious Disease | Inland Valley Infectious Disease Medical Group Inc | 550 N Monterey Ave, Ontario, CA 91764-3318 |
| Eugene Mcmillan | Internal Medicine | Knd Development 59 LLC | 550 N Monterey Ave, Ontario, CA 91764-3318 |
| Ali M Etemadian | Internal Medicine | 550 N Monterey Ave, Ontario, CA 91764-3318 | |
| Ranjit N Karu | Family Medicine | 550 N Monterey Ave, Kindred Hospital Ontario, Ontario, CA 91764-3318 | |
| Krishan K Malhotra | Gastroenterology | 550 N Monterey Ave, Ontario, CA 91764-3318 | |
| Brazell H Carter | Internal Medicine | Knd Development 59 LLC | 550 N Monterey Ave, Ontario, CA 91764-3318 |
| Nyunt Lwin | Anesthesiology | Knd Development 59 LLC | 550 N Monterey Ave, Ontario, CA 91764-3318 |
| Ashraf I Eskander | Internal Medicine | 550 N Monterey Ave, Kindred Ontario, Ontario, CA 91764-3318 | |
| Irene Bakman | Internal Medicine | Inland Valley Infectious Disease Medical Group Inc | 550 N Monterey Ave, Ontario, CA 91764-3318 |
| John P Mourani | Infectious Disease | Inland Valley Infectious Disease Medical Group Inc | 550 N Monterey Ave, Ontario, CA 91764-3318 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian K Constantine | Podiatry | 800 E 5th St, Ontario, CA 91764-2432 | |
| Darren Hidalgo Goltiao | Anesthesiology | Knd Development 59 LLC | 550 N Monterey Ave, Ontario, CA 91764-3318 |
| Kevin Hyer | Internal Medicine | Knd Development 59 LLC | 550 N Monterey Ave, Ontario, CA 91764-3318 |
| Victor H Fantasia | Chiropractic | 410 N Lemon St, United Chiropractic Health Center, Ontario, CA 91764-3732 | |
| Asterio A Galvan | Oral Surgery | 750 N Archibald Ave N, Ontario, CA 91764-4647 | |
| Than Myint | Psychiatry | County of San Bernardino | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 |
| Gurmit Sekhon | Psychiatry | County of San Bernardino | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 |
| Julie Myers | Psychologist, Clinical | County of San Bernardino | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 |
| Dau V Nguyen | Psychiatry | County of San Bernardino | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 |
| Jatin Dalal | Psychiatry | County of San Bernardino | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 |
| Find all physicians in zip 91764 | |||
| City | ONTARIO |
| Zip Code | 91764 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ONTARIO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kanokrat Suksompoth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.