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TIRANUN RUNGVIVATJARUS M.D.
NPI 1407276363
Pediatrics in San Diego, CA

Active since April 18, 2014PECOS Enrolled
3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-5841 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tiranun Rungvivatjarus M.d. NPPES

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

TIRANUN RUNGVIVATJARUS M.D. (NPI 1407276363) is an individual pediatrics provider in San Diego, California, licensed in California (A141353) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1407276363
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTIRANUN RUNGVIVATJARUSCredential: M.D.
Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5064San Diego, CA 92123-4223 · (858) 966-5841
Phone(858) 966-5841
Sole ProprietorNo
Enumeration DateApril 18, 2014
Last NPPES UpdateMarch 17, 2018
✔ NPI 1407276363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A141353
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3020 CHILDRENS WAY, San Diego, CA 92123
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Secondary Practice Location 1

Location 13020 Children's Way, MC 5124San Diego, CA 92123 · Phone (858) 966-6764

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiranun Rungvivatjarus M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 20

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

DR. NATALIE E. ELLINGTON MD
Pathology (Pediatric Pathology)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5944
SHANNA MICHAEL MILLER-NABAS RDN
Physician Assistant
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
DR. ADRIANA HERRERA TREMOULET M.D.
Pediatrics (Pediatric Infectious Diseases)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-7785
LORI MCCURDY M.S., CCC-SLP
Speech-Language Pathologist
3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123
San Diego County (858) 968-5838
MS. ANN M SUMIDA-JOHNSON M.A..
Audiologist
3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123
San Diego County (858) 966-5838
RICHARD JOHN NEWTON M.D.
Pediatrics
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8036
DR. SHAHFAR KHAN M.D.
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8800
CARLY BETH WELCH CPNP-AC
Nurse Practitioner (Pediatrics)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8800

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 Tiranun Rungvivatjarus's NPI number?

The NPI number for Tiranun Rungvivatjarus is 1407276363. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Where is Tiranun Rungvivatjarus located?

Tiranun Rungvivatjarus practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-5841.

What is Tiranun Rungvivatjarus's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tiranun Rungvivatjarus enrolled in Medicare?

Yes. Tiranun Rungvivatjarus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiranun Rungvivatjarus was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.