SUTTIRAK CHAIWONGKARJOHN, INC.
NPI 1396279105
Specialist in Valencia, CA

Active since April 18, 2017
24123 DEL MONTE DR UNIT 95, VALENCIA, CA 91355(818) 477-4700 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Suttirak Chaiwongkarjohn, Inc. NPPES

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

SUTTIRAK CHAIWONGKARJOHN, INC. (NPI 1396279105) is a healthcare organization registered as a specialist in Valencia, California and active in the NPI registry since April 2017. The organization lists Suttirak Chaiwongkarjohn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396279105
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUTTIRAK CHAIWONGKARJOHN, INC.
Location Address24123 DEL MONTE DR UNIT 95Valencia, CA 91355-3819
Mailing Address24123 Del Monte Dr Unit 95Valencia, CA 91355-3819 · (818) 477-4700
Organization SubpartNo
Authorized OfficialSuttirak ChaiwongkarjohnCeo · (818) 477-4700
Enumeration DateApril 18, 2017
Last NPPES UpdateApril 20, 2017
✔ NPI 1396279105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A115809
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
24123 DEL MONTE DR UNIT 95, Valencia, CA 91355

Other Identifiers 1

OtherA115809CA · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suttirak Chaiwongkarjohn, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Suttirak Chaiwongkarjohn, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Infectious Disease
NPI 1083879084
45104 10TH ST W
Lancaster, CA 93534
(661) 942-2391
✔ PECOS✔ Accepts Medicare31 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Suttirak Chaiwongkarjohn, Inc.'s NPI number?

The NPI number for Suttirak Chaiwongkarjohn, Inc. is 1396279105. It was assigned to this organization in the NPPES registry on April 18, 2017.

Where is Suttirak Chaiwongkarjohn, Inc. located?

Suttirak Chaiwongkarjohn, Inc. is located at 24123 Del Monte Dr Unit 95, Valencia, CA 91355. The listed phone number is (818) 477-4700.

What is Suttirak Chaiwongkarjohn, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Suttirak Chaiwongkarjohn, Inc. enrolled in Medicare?

Yes. Suttirak Chaiwongkarjohn, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suttirak Chaiwongkarjohn, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Suttirak Chaiwongkarjohn, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Suttirak Chaiwongkarjohn, Inc. was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.