DR. SRIVIMOL TANTAMJARIK M.D., F.A.A.P.
NPI 1508828856
Pediatrics in Santa Ana, CA

Q: What is Srivimol Tantamjarik's NPI number?

The NPI number for Srivimol Tantamjarik is 1508828856. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Q: What is Srivimol Tantamjarik's specialty?

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

Active since April 03, 2006PECOS Enrolled

1610 W EDINGER AVE STE B, SANTA ANA, CA 92704(714) 641-1610(714) 641-1146 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Srivimol Tantamjarik M.d., F.a.a.p. NPPES

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

DR. SRIVIMOL TANTAMJARIK M.D., F.A.A.P. (NPI 1508828856) is an individual pediatrics provider in Santa Ana, California, licensed in California (A31595) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508828856

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SRIVIMOL TANTAMJARIKCredential: M.D., F.A.A.P.

Location Address1610 W EDINGER AVE STE BSanta Ana, CA 92704-4339

Mailing Address1610 W Edinger Ave Ste BSanta Ana, CA 92704-4339 · (714) 641-1610 · Fax (714) 641-1146

Phone(714) 641-1610

Fax(714) 641-1146

Sole ProprietorNo

Enumeration DateApril 3, 2006

Last NPPES UpdateFebruary 23, 2023

NPPES CertifiedFebruary 23, 2023

✔ NPI 1508828856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A31595

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.

1610 W EDINGER AVE STE B, Santa Ana, CA 92704

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Other Identifiers 1

OtherA31595CA · Physician License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Srivimol Tantamjarik M.d., F.a.a.p. 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 92704 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 5

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

TANTAM MEDICAL GROUP, INC.

Family Medicine