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DR. PAT T KOUWABUNPAT MD
NPI 1063625069
Family Medicine in Santa Ana, CA

Active since May 07, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1093745 · Waiver
1610 W EDINGER AVE, SUITE B, SANTA ANA, CA 92704(714) 641-1610(714) 641-1146 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2023, Dec 29, 2021 (2 updates tracked since 2021).

About Dr. Pat T Kouwabunpat Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAT T KOUWABUNPAT MD (NPI 1063625069) is an individual family medicine provider in Santa Ana, California, licensed in California (A97918) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 29, 2026, and is a graduate of Warren Alpert Medical School Of Brown University (2001).

NPPES Registry Identity

NPI1063625069
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAT T KOUWABUNPATCredential: MD
Location Address1610 W EDINGER AVE, SUITE BSanta Ana, CA 92704-4339
Mailing Address1610 W Edinger Ave, Ste BSanta Ana, CA 92704-4339 · (714) 641-1610 · Fax (714) 641-1146
Phone(714) 641-1610
Fax(714) 641-1146
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2001
Enumeration DateMay 7, 2007
Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1063625069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A97918
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1610 W EDINGER AVE, Santa Ana, CA 92704
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Other Identifiers 1

Medicaid00A979180CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pat T Kouwabunpat Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183718158
PECOS Enrollment IDI20070920000909
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1093745

Pat Kouwabunpat, MD · Santa Ana, CA
Active · expires Dec 29, 2026
CLIA Number05D1093745
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorPat T. Kouwabunpat, MD
Laboratory Phone(714) 641-1610
Laboratory LocationPat Kouwabunpat, MD1610 W Edinger Avenue, Suite B, Santa Ana, CA 92704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services43 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services29 patients
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic G2012
A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.
47 services29 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
40 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TAMMY THU NGUYEN PA-C
Physician Assistant
1610 W EDINGER AVE, SUITE B
SANTA ANA, CA 92704
Orange County (714) 641-1610
DR. CHUL YOUNG BYUN DDS
Dentist
1610 W EDINGER AVE, SUITE# A
SANTA ANA, CA 92704
Orange County (714) 556-6556
MAIDIANA ANH ENGLISH PA-C
Physician Assistant
1610 W EDINGER AVE, SUITE B
SANTA ANA, CA 92704
Orange County (714) 641-1610
LEE AND HONG PROFESSIONAL DENTAL CORPORATION
Dentist (Pediatric Dentistry)
1610 W EDINGER AVE, SUITE C
SANTA ANA, CA 92704
Orange County (714) 432-7337
CHILDREN'S DENTAL SURGERY CENTER, A DENTAL PRACTICE OF DRS. LEE AND MU
Dentist (Pediatric Dentistry)
1610 W EDINGER AVE, SUITE C
SANTA ANA, CA 92704
Orange County (714) 432-7337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pat Kouwabunpat's NPI number?

The NPI number for Pat Kouwabunpat is 1063625069. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Pat Kouwabunpat located?

Pat Kouwabunpat practices at 1610 W Edinger Ave Suite B, Santa Ana, CA 92704. The listed phone number is (714) 641-1610.

What is Pat Kouwabunpat's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pat Kouwabunpat enrolled in Medicare?

Yes. Pat Kouwabunpat is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Pat Kouwabunpat hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1093745) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pat Kouwabunpat was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.