PRISTA CHARUWORN MD NPI 1003002221
Internal Medicine (Gastroenterology) in Stanford, CA
About PRISTA CHARUWORN
Prista Charuworn is a provider established in Stanford, California and her medical specialization is internal medicine. The NPI number of Prista Charuworn is 1003002221 and was assigned on September 2007. The practitioner's primary taxonomy code is 207RG0100X with license number A84110 (CA). The provider is registered as an individual and her NPI record was last updated 13 years ago. Prista Charuworn is enrolled in PECOS.
| NPI | 1003002221 |
| Provider Name | PRISTA CHARUWORN MD |
| Provider Location Address | 300 PASTEUR DR ALWAY BUILD M211, MC 5187 STANFORD, CA 94305 |
| Provider Mailing Address | 300 PASTEUR DR ALWAY BUILD M211, MC 5187 STANFORD, CA 94305 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-20-2007 |
| Last Update Date | 09-20-2007 |
Primary Taxonomy
| Taxonomy Code | 207RG0100X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Gastroenterology |
| License No. | A84110 |
| License State | CA |
| Taxonomy Description | An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Business Address
PRISTA CHARUWORN MD
300 PASTEUR DR
ALWAY BUILD M211, MC 5187
STANFORD, CA
ZIP 94305
Phone: (650) 723-6661
Mailing Address
PRISTA CHARUWORN MD
300 PASTEUR DR
ALWAY BUILD M211, MC 5187
STANFORD, CA
ZIP 94305
Phone:
Medicare Participation
| Registered in PECOS? | Yes What is PECOS? PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims. |
| Part B Clinical Laboratory and Imaging | Yes |
| Durable Medical Equipment | Yes |
| Home Health Agency (HHA) | Yes |
| Power Mobility Devices | Yes |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003888132 | STAFFORD ROBERT GRADY JR. MD Individual | Pediatrics (Pediatric Cardiology) | 300 PASTEUR DR STANFORD, CA 94305 (650) 723-4000 |
| 1215914601 | DR. KYUNG MEE RO M.D. Individual | Radiologic Technologist (Radiography) | 300 PASTEUR DR ROOM H1307 RADIOLOGY STANFORD, CA 94305 (650) 723-8463 |
| 1326036013 | DR. TERENCE DAVID SANGER MD, PHD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 300 PASTEUR DR STANFORD, CA 94305 (650) 736-2154 |
| 1346215100 | JING WANG CHIANG MD Individual | Obstetrics & Gynecology | 300 PASTEUR DR STANFORD, CA 94305 (650) 723-4000 |
| 1356318240 | THERESA GRECO MD Individual | Internal Medicine | 300 PASTEUR DR STANFORD, CA 94305 (650) 723-4000 |
| 1407823875 | GLENN MATTHEW CHERTOW MD Individual | Internal Medicine (Nephrology) | 300 PASTEUR DR STANFORD, CA 94305 (650) 725-4738 |
| 1487617064 | DR. KEVIN LEE LETZ DNP, NP Individual | Nurse Practitioner | 300 PASTEUR DR SUMC - PEDS PHYSICIAN BILLING MC:5530 PALO ALTO, CA 94305 (650) 498-7391 |
| 1538126099 | DR. MICHAEL WARREN CHAMPEAU M.D. Individual | Anesthesiology | 300 PASTEUR DR STANFORD, CA 94305 (650) 725-6102 |
| 1558328005 | DR. RHETT W. ATKINSON M.D. Individual | Anesthesiology | 300 PASTEUR DR STANFORD, CA 94305 (650) 725-6102 |
| 1578531430 | DR. ANTHONY DOUFAS MD Individual | Anesthesiology | 300 PASTEUR DR S272A MC 5117 STANFORD, CA 94305 (650) 725-5875 |
| 1598735227 | PAMELA MARIE PIACENTE RPA-C Individual | Physician Assistant (Surgical) | 300 PASTEUR DR OR ADMINISTRATION H2546 MAIL ROUTE 5635 STANFORD, CA 94305 (650) 724-5424 |
| 1649242587 | DR. CALVIN KUAN M.D. Individual | Anesthesiology | 300 PASTEUR DR SUITE H3582 STANFORD, CA 94305 (650) 723-5728 |
| 1659351369 | DR. DIANA G MC GREGOR MBBS Individual | Anesthesiology | 300 PASTEUR DR STANFORD, CA 94305 (650) 723-6411 |
| 1659357200 | DARRELL MEALER WILSON MD Individual | Pediatrics (Pediatric Endocrinology) | 300 PASTEUR DR S-302 MED CENTER MC 5208 STANFORD, CA 94305 (408) 732-2486 |
| 1770568867 | DR. GREGORY HEESTAND M.D. Individual | Internal Medicine (Hematology & Oncology) | 300 PASTEUR DR STANFORD, CA 94305 (650) 498-6000 |
| 1861486995 | DR. GREGORY N PROUTY PHARM.D. Individual | Pharmacist | 300 PASTEUR DR ROOM H0301, M/C 5616 STANFORD, CA 94305 (650) 725-5801 |
| 1891788527 | DR. PRAVENE A NATH M.D. Individual | Emergency Medicine | 300 PASTEUR DR H3200, M/C 5230 PALO ALTO, CA 94305 (650) 721-6408 |
| 1942270764 | EMILIE V CHEUNG M.D. Individual | Orthopaedic Surgery | 300 PASTEUR DR EDWARDS BUILDING, RM. R105B PALO ALTO, CA 94305 (650) 736-7804 |
| 1952374936 | DR. LISA MAI LEE MD Individual | Obstetrics & Gynecology | 300 PASTEUR DR STANFORD, CA 94305 (650) 723-4000 |
| 1972589703 | DR. JOHN LOUIE M.D. Individual | Radiology (Vascular & Interventional Radiology) | 300 PASTEUR DR RM H3630 PALO ALTO, CA 94305 (650) 725-5202 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.