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PAT KOLYOUTHAPONG
NPI 1134830615
Physician Assistant in West Hollywood, CA

Active since December 06, 2022PECOS EnrolledAccepts Medicare Assignment
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048(310) 423-5000 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2025, Sep 13, 2024, Dec 6, 2022 (3 updates tracked since 2022).

About Pat Kolyouthapong NPPES

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

PAT KOLYOUTHAPONG (NPI 1134830615) is an individual physician assistant in West Hollywood, California, licensed in California (PA66682) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alhambra, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1134830615
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAT KOLYOUTHAPONG
Location Address8700 BEVERLY BLVDWest Hollywood, CA 90048-1804
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(310) 423-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 6, 2022
Last NPPES UpdateAugust 8, 20253 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1134830615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA66682
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8700 BEVERLY BLVD, West Hollywood, CA 90048
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Secondary Practice Location 1

Location 11000 S Fremont Ave Bldg A-11Alhambra, CA 91803-8800 · Phone (949) 374-8151

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

Pat Kolyouthapong 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 ID1456851567
PECOS Enrollment IDI20250822004170
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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.

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.

DR. BERNICE LOUISE COLEMAN PH.D, ACNP-BC
Nurse Practitioner (Acute Care)
8700 BEVERLY BLVD, NORTH TOWER ROOM 6215
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6178
DR. INGRID LEAH DOMBROWER M.D.
Psychiatry & Neurology (Psychiatry)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-2871
ELAINE WITTERT MSW
Social Worker (Clinical)
8700 BEVERLY BLVD, SUITE AC1002
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3119
DR. KENAN MOHAMMED NADAR D.O.
Pediatrics
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-4451
HAE YOON GRACE CHOUNG MD
Pathology (Anatomic Pathology & Clinical Pathology)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6623
CASEY DISTASO MD
Emergency Medicine
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-8780
CHIARA CASAS NP
Nurse Practitioner (Pediatrics)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3277
PHILIP CHENG MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-1682

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 Kolyouthapong's NPI number?

The NPI number for Pat Kolyouthapong is 1134830615. It was assigned to this individual provider in the NPPES registry on December 6, 2022.

Where is Pat Kolyouthapong located?

Pat Kolyouthapong practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-5000.

What is Pat Kolyouthapong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Pat Kolyouthapong enrolled in Medicare?

Yes. Pat Kolyouthapong 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.

When was this NPI record last updated?

The NPPES record for Pat Kolyouthapong was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.