THIRAT CHAKAVANMONGKOL
NPI 1265188221
Nurse Practitioner - Family in North Hollywood, CA

Active since February 28, 2022PECOS Enrolled
12215 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606(818) 299-5500 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Thirat Chakavanmongkol NPPES

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

THIRAT CHAKAVANMONGKOL (NPI 1265188221) is an individual family provider in North Hollywood, California, licensed in California (95020085) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265188221
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHIRAT CHAKAVANMONGKOL
Location Address12215 VICTORY BLVDNorth Hollywood, CA 91606-3206
Mailing Address7418 Vantage AveNorth Hollywood, CA 91605-3609 · (818) 653-0176
Sole ProprietorNo
Enumeration DateFebruary 28, 2022
NPPES CertifiedFebruary 25, 2022
✔ NPI 1265188221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95020085
12215 VICTORY BLVD, North Hollywood, CA 91606

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thirat Chakavanmongkol 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.

Areas of Expertise CMS Part B claims 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91606 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 4

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

Nurse Practitioner (Psychiatric/Mental Health)
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Nurse Practitioner (Family)
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Nurse Practitioner (Acute Care)
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Nurse Practitioner
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606

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 Thirat Chakavanmongkol's NPI number?

The NPI number for Thirat Chakavanmongkol is 1265188221. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Where is Thirat Chakavanmongkol located?

Thirat Chakavanmongkol practices at 12215 Victory Blvd, North Hollywood, CA 91606. The listed phone number is (818) 299-5500.

What is Thirat Chakavanmongkol's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Thirat Chakavanmongkol enrolled in Medicare?

Yes. Thirat Chakavanmongkol is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thirat Chakavanmongkol was last updated on February 28, 2022. 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.