VEENA KULCHAIYAWAT BHATARAKAMOL D.O.
NPI 1073830964
Family Medicine in San Dimas, CA
About Veena Kulchaiyawat Bhatarakamol D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VEENA KULCHAIYAWAT BHATARAKAMOL D.O. (NPI 1073830964) is an individual family medicine provider in San Dimas, California, licensed in California (20A12126) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Veena Kulchaiyawat Bhatarakamol D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Veena Bhatarakamol reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baldwin Park, CA 91706
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91773 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIMAS, CA 91773
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 Veena Bhatarakamol's NPI number?
The NPI number for Veena Bhatarakamol is 1073830964. It was assigned to this individual provider in the NPPES registry on May 1, 2010. The provider is also known as Veena Kulchaiyawat D.O..
Where is Veena Bhatarakamol located?
Veena Bhatarakamol practices at 1255 W Arrow Hwy, San Dimas, CA 91773. The listed phone number is (800) 780-1277.
What is Veena Bhatarakamol's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Veena Bhatarakamol enrolled in Medicare?
Yes. Veena Bhatarakamol 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.
Which organization bills Medicare for Veena Bhatarakamol's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Veena Bhatarakamol reassigns Medicare benefits to Southern California Permanente Medical Group (Baldwin Park, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Veena Bhatarakamol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Veena Bhatarakamol was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Veena Kulchaiyawat Bhatarakamol, D.O. · NPI 1073830964
Family Medicine physician in San Dimas, California. Individual provider, active in the CMS NPPES registry since May 1, 2010.
## Identity
- **NPI:** 1073830964 (Entity type: Individual)
- **Enumerated:** May 1, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A12126 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1255 W ARROW HWY, San Dimas, CA 91773-2340
- **Phone:** (800) 780-1277
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1770515280, Baldwin Park, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2009
## Record status
- **NPPES last updated:** December 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1073830964) · Data from the CMS NPPES public registry.