THIRAT CHAKAVANMONGKOL
NPI 1265188221
Nurse Practitioner - Family in North Hollywood, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thirat Chakavanmongkol is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Thirat Chakavanmongkol reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Northridge, CA 91324
- Reassigned Medicare billing, California enrollment
- 13 clinicians in this Medicare group
Thousand Oaks, CA 91361
- Reassigned Medicare billing, California enrollment
- 72 clinicians in this Medicare group
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 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.
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.
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.
NORTH HOLLYWOOD, CA 91606
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.
Which organizations bill Medicare for Thirat Chakavanmongkol's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thirat Chakavanmongkol reassigns Medicare benefits to 2 organizations: Anvar Medical Group (Northridge, CA) and Infusion4health (Thousand Oaks, CA). Each 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 Thirat Chakavanmongkol'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 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.
# Thirat Chakavanmongkol · NPI 1265188221
Family physician in North Hollywood, California. Individual provider, active in the CMS NPPES registry since February 28, 2022.
## Identity
- **NPI:** 1265188221 (Entity type: Individual)
- **Enumerated:** February 28, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95020085 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12215 VICTORY BLVD, North Hollywood, CA 91606-3206
- **Phone:** (818) 299-5500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Anvar Medical Group (NPI 1831539485, Northridge, CA); Infusion4health (NPI 1508262213, Thousand Oaks, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1265188221) · Data from the CMS NPPES public registry.