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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PATARA ROJANAVONGSE M.D.
NPI 1225319270
Pediatrics in French Camp, CA

Active since September 05, 2011PECOS Enrolled
500 W HOSPITAL RD, FRENCH CAMP, CA 95231(209) 468-6820(209) 468-2321 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2026, Oct 27, 2020 (2 updates tracked since 2020).

About Patara Rojanavongse M.d. NPPES

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

PATARA ROJANAVONGSE M.D. (NPI 1225319270) is an individual pediatrics provider in French Camp, California, licensed in California (A119096) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Castro Valley, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1225319270
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePATARA ROJANAVONGSECredential: M.D.
Location Address500 W HOSPITAL RDFrench Camp, CA 95231-9693
Mailing Address1414 N California StStockton, CA 95202-1515 · (209) 468-2066
Phone(209) 468-6820
Fax(209) 468-2321
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 5, 2011
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1225319270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A119096
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.
500 W HOSPITAL RD, French Camp, CA 95231
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Secondary Practice Location 1

Location 120101 Lake Chabot Rd Fl 3Castro Valley, CA 94546-5305 · Phone (510) 886-3400 · Fax (510) 506-7729

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patara Rojanavongse M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062970502
PECOS Enrollment IDI20260814004889
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 Patara Rojanavongse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
48 mi
Multi-Specialty
1315 ALHAMBRA BLVD STE 210
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1003267196 (916) 732-4380

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 95231 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

MARIA MONTANEZ
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6208
HIBA ALAM MD
Student in an Organized Health Care Education/Training Program
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6032
MR. TOMAS LAJIAS MORALES
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCHCAMP, CA 95231
San Joaquin County (209) 468-6129
ANH H. LE MD
Obstetrics & Gynecology
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6820
MICHELLE JEAN ROWE D.O.
Family Medicine (Sports Medicine)
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6820
ROBERT LEE LEWIS
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6857
NAVPREET SINGH
Student in an Organized Health Care Education/Training Program
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6641
DR. PETER C. MEADE M.D.
Surgery
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6000

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 Patara Rojanavongse's NPI number?

The NPI number for Patara Rojanavongse is 1225319270. It was assigned to this individual provider in the NPPES registry on September 5, 2011.

Where is Patara Rojanavongse located?

Patara Rojanavongse practices at 500 W Hospital Rd, French Camp, CA 95231. The listed phone number is (209) 468-6820.

What is Patara Rojanavongse's specialty?

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

Is Patara Rojanavongse enrolled in Medicare?

Yes. Patara Rojanavongse is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patara Rojanavongse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patara Rojanavongse reassigns Medicare benefits to Sutter Bay Medical Foundation (Sacramento, 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 Patara Rojanavongse'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 Patara Rojanavongse was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.