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DR. KRAIVIT ANGSUPANICH M.D.
NPI 1275630196
Surgery in Lakeport, CA

Active since September 20, 2006
801 11TH ST, SUITE 1, LAKEPORT, CA 95453(707) 262-5568(707) 263-6888 Get Directions Write a Review

NPPES record last updated: September 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kraivit Angsupanich M.d. NPPES

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

DR. KRAIVIT ANGSUPANICH M.D. (NPI 1275630196) is an individual surgery provider in Lakeport, California, licensed in California (A34208) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1275630196
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KRAIVIT ANGSUPANICHCredential: M.D.
Location Address801 11TH ST, SUITE 1Lakeport, CA 95453-4100
Mailing Address801 11th St, Suite 1Lakeport, CA 95453-4100 · (707) 262-5568 · Fax (707) 263-6888
Phone(707) 262-5568
Fax(707) 263-6888
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 17, 2008
✔ NPI 1275630196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A34208
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
801 11TH ST, Lakeport, CA 95453
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Other Identifiers 2

Other020049565CA · Railroad Medicare
Medicare ID-Type Unspecified00A3420800CA

Other Providers at the Same Location NPPES 8

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

ADVENTIST HEALTH PHYSICIANS NETWORK
Internal Medicine
801 11TH ST
LAKEPORT, CA 95453
Lake County (707) 263-3746
JAQUES NGAKAM PA
Physician Assistant
801 11TH ST
LAKEPORT, CA 95453
Lake County (707) 263-3746
KIMBERLY BIGELMAN LCSW
Social Worker (Clinical)
801 11TH ST
LAKEPORT, CA 95453
Lake County (707) 391-6272
DR. MICHAEL VILLONGCO DO
Family Medicine
801 11TH ST
LAKEPORT, CA 95453
Lake County (707) 263-3746
SHAYAAN SAJID
Physician Assistant
801 11TH ST
LAKEPORT, CA 95453
Lake County (707) 263-3746
DAVID BETAT M.D.
Family Medicine
801 11TH ST
LAKEPORT, CA 95453
Lake County (707) 413-3259
ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC
Clinic/Center (Rural Health)
801 11TH ST
LAKEPORT, CA 95453
Lake County (707) 263-3746
JOHN REGIS MINOTTI M.D.
Internal Medicine (Cardiovascular Disease)
801 11TH ST
LAKEPORT, CA 95453
Lake County (707) 263-3746

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 Kraivit Angsupanich's NPI number?

The NPI number for Kraivit Angsupanich is 1275630196. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kraivit Angsupanich located?

Kraivit Angsupanich practices at 801 11th St Suite 1, Lakeport, CA 95453. The listed phone number is (707) 262-5568.

What is Kraivit Angsupanich's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kraivit Angsupanich was last updated on September 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.