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KANOKPORN MONGKOLRATTANOTHAI MD
NPI 1174592950
Pediatrics in Los Angeles, CA

Active since March 15, 2006PECOS Enrolled
4650 W SUNSET BLVD, MAILSTOP # 51, LOS ANGELES, CA 90027(323) 361-8736(323) 361-1183 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kanokporn Mongkolrattanothai Md NPPES

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

KANOKPORN MONGKOLRATTANOTHAI MD (NPI 1174592950) is an individual pediatrics provider in Los Angeles, California, licensed in Illinois (036112843) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174592950
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKANOKPORN MONGKOLRATTANOTHAICredential: MD
Location Address4650 W SUNSET BLVD, MAILSTOP # 51Los Angeles, CA 90027-6062
Mailing Address4650 W Sunset Blvd, Mailstop # 51Los Angeles, CA 90027-6062 · (323) 361-8736 · Fax (323) 361-1183
Phone(323) 361-8736
Fax(323) 361-1183
Sole ProprietorNo
Enumeration DateMarch 15, 2006
Last NPPES UpdateMay 7, 2024
✔ NPI 1174592950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036112843
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4650 W SUNSET BLVD, Los Angeles, CA 90027
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Other Identifiers 2

Other07215036IL · Bcbs
Medicaid036112843IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanokporn Mongkolrattanothai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90027 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 20

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

DR. MARK HENDRIK CORDEN M.D.
Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-8893
MS. ROBERTA MIYEKO KATO MD
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2101
CHILDREN'S HOSPITAL LOS ANGELES
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3644
JESSICA ELIZABETH GREIM DPT, PT
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (310) 361-2118
MOLLY CEVASCO PH.D., BCBA
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
GINNY KIM THAN NP
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3033
DOUGLAS SHAPIRO MD
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 660-2450
ALEXANDRA LYNN JOSTES MD
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2122

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 Kanokporn Mongkolrattanothai's NPI number?

The NPI number for Kanokporn Mongkolrattanothai is 1174592950. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Kanokporn Mongkolrattanothai located?

Kanokporn Mongkolrattanothai practices at 4650 W Sunset Blvd Mailstop # 51, Los Angeles, CA 90027. The listed phone number is (323) 361-8736.

What is Kanokporn Mongkolrattanothai's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kanokporn Mongkolrattanothai enrolled in Medicare?

Yes. Kanokporn Mongkolrattanothai is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kanokporn Mongkolrattanothai was last updated on May 7, 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.