1. Home
  2. Directory
  3. California
  4. San Diego
  5. Internal Medicine
  6. NPI Profile

DR. PORNTHEP WATTANAMANO MD
NPI 1295738516
Internal Medicine - Infectious Disease in San Diego, CA

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
3335 RIVIERA DR, SAN DIEGO, CA 92109(713) 384-3229 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pornthep Wattanamano Md NPPES

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

DR. PORNTHEP WATTANAMANO MD (NPI 1295738516) is an individual infectious disease provider in San Diego, California, licensed in Texas (L5950) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1295738516
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. PORNTHEP WATTANAMANOCredential: MD
Location Address3335 RIVIERA DRSan Diego, CA 92109-6614
Mailing Address3335 Riviera DrSan Diego, CA 92109-6614 · (713) 384-3229
Phone(713) 384-3229
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 31, 2005
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1295738516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in TX · L5950✔ Licensed in CA · C186338
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License C186338 (CA)
3335 RIVIERA DR, San Diego, CA 92109
Open in Google Maps ↗

Other Identifiers 3

Medicaid157125902TX
OtherP00193508TX · Railroad Medicare
Other8R0570TX · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pornthep Wattanamano Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193788024
PECOS Enrollment IDI20250826004899
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 92109 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Pornthep Wattanamano's NPI number?

The NPI number for Pornthep Wattanamano is 1295738516. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Pornthep Wattanamano located?

Pornthep Wattanamano practices at 3335 Riviera Dr, San Diego, CA 92109. The listed phone number is (713) 384-3229.

What is Pornthep Wattanamano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Pornthep Wattanamano enrolled in Medicare?

Yes. Pornthep Wattanamano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Pornthep Wattanamano was last updated on September 29, 2023. 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.