JITTIMA JIRASETPATANA D.P.M.
NPI 1114021789
Podiatrist in Glendale, CA

Q: What is Jittima Jirasetpatana's NPI number?

The NPI number for Jittima Jirasetpatana is 1114021789. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Q: What is Jittima Jirasetpatana's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since September 12, 2006PECOS Enrolled

75/100

CMS Quality Rating

1510 S CENTRAL AVE, SUITE 120, GLENDALE, CA 91204(818) 242-3668(818) 242-2425 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jittima Jirasetpatana D.p.m. NPPES

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

JITTIMA JIRASETPATANA D.P.M. (NPI 1114021789) is an individual podiatrist in Glendale, California, licensed in California (E4442) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2000).

NPPES Registry Identity

NPI1114021789

Entity TypeIndividualFemale

Primary Taxonomy213E00000X

Provider Legal NameJITTIMA JIRASETPATANACredential: D.P.M.

Location Address1510 S CENTRAL AVE, SUITE 120Glendale, CA 91204-2577

Mailing Address1510 S Central Ave Ste 120Glendale, CA 91204-2576 · (818) 242-3668 · Fax (818) 242-2425

Phone(818) 242-3668

Fax(818) 242-2425

Sole ProprietorNo

Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2000

Enumeration DateSeptember 12, 2006

Last NPPES UpdateMay 9, 2024

NPPES CertifiedMay 9, 2024

✔ NPI 1114021789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in CA · E4442

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

1510 S CENTRAL AVE, Glendale, CA 91204

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jittima Jirasetpatana D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668462243

PECOS Enrollment IDI20040517000876

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.

Medicare Billing Reassignment

Medicare enrollment records show Jittima Jirasetpatana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jittima Jirasetpatana

Same address

Podiatrist

1510 S CENTRAL AVE, SUITE 120
Glendale, CA 91204

Reassigned Medicare billing, California enrollment

NPI 1992903710 (818) 242-3668

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 21

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.

1,194 services361 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

840 services354 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

756 services377 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

669 services371 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

521 services243 patients

Removal of inflamed or infected skin, up to 10% of body surface 11000

This procedure involves the surgical removal of inflamed or infected skin covering up to 10% of your body surface. It's done to prevent the spread of infection and promote healing. Local or general anesthesia is used to ensure comfort during the process.

499 services281 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

263 services163 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

122 services121 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

84 services84 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

69 services26 patients

Placement of strapping to ankle or foot 29540

Strapping to the ankle or foot is a procedure involving the application of tape or a similar material to provide support and stability. It can help manage injuries, reduce pain, and prevent further harm. The process is non-invasive and typically performed by a trained professional.

64 services37 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

60 services29 patients

Placement of strapping to toes 29550

Strapping toes is a procedure to stabilize or position the toes correctly. It's often used for conditions like hammertoes, fractures, or sprains. A special tape is applied to your toes to provide support, reduce pain, and promote healing.

44 services22 patients

Strapping, unna boot 29580

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

39 services22 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

36 services28 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

35 services35 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

33 services19 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

27 services14 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

21 services21 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.

15 services13 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91204 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months

97%128 patients4/55-star benchmark: 100%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear

Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing

98%128 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

92%253 patients3/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

90%135 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

74%35 patients3/55-star benchmark: 100%

Pain Assessment and Follow-Up

Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present

100%253 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

12%134 patients1/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

12%234 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

WILLIAM W LOEBMAN, M.D., INC

Specialist

1510 S CENTRAL AVE, #600
GLENDALE, CA 91204

Los Angeles County (818) 500-1676

KAYICHIAN DESPINA, M.D., INC

Internal Medicine (Nephrology)

1510 S CENTRAL AVE, SUITE 210
GLENDALE, CA 91204

Los Angeles County (818) 241-7628

FOWROOZ JOOLHAR M.D. A MEDICAL CORP

Internal Medicine (Cardiovascular Disease)

1510 S CENTRAL AVE, SUITE 650
GLENDALE, CA 91204

Los Angeles County (818) 552-5010

RENOLOGY MEDICAL GROUP

Internal Medicine (Nephrology)

1510 S CENTRAL AVE, SUITE 210
GLENDALE, CA 91204

Los Angeles County (818) 956-2111

DR. RICHARD W SUDA MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1510 S CENTRAL AVE, SUITE 530
GLENDALE, CA 91204

Los Angeles County (818) 244-4374

MARDI H. MIHRANIAN

Specialist

1510 S CENTRAL AVE, SUITE 100
GLENDALE, CA 91204

Los Angeles County (818) 240-1820

DR. ARAM B KARAKASHIAN MD

Family Medicine

1510 S CENTRAL AVE, SUITE 130
GLENDALE, CA 91204

Los Angeles County (818) 247-3965

SOOREN KARAYAN, M.D. INC

Orthopaedic Surgery

1510 S CENTRAL AVE, SUITE 500
GLENDALE, CA 91204

Los Angeles County (818) 507-0686

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 Jittima Jirasetpatana's NPI number?

The NPI number for Jittima Jirasetpatana is 1114021789. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Jittima Jirasetpatana located?

Jittima Jirasetpatana practices at 1510 S Central Ave Suite 120, Glendale, CA 91204. The listed phone number is (818) 242-3668.

What is Jittima Jirasetpatana's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Jittima Jirasetpatana enrolled in Medicare?

Yes. Jittima Jirasetpatana is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jittima Jirasetpatana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jittima Jirasetpatana reassigns Medicare benefits to Jittima Jirasetpatana (Glendale, 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 Jittima Jirasetpatana'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 Jittima Jirasetpatana was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.