PATARAPHA WONGSAROJ MD PC
NPI 1619720844
Internal Medicine - Nephrology in West Hollywood, CA

Active since April 08, 2024
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048(818) 653-4889 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patarapha Wongsaroj Md Pc NPPES

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

PATARAPHA WONGSAROJ MD PC (NPI 1619720844) is a healthcare organization registered as a nephrology in West Hollywood, California and active in the NPI registry since April 2024. The organization lists Patarapha Wongsaroj, Owner, as its authorized official.

NPPES Registry Identity

NPI1619720844
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePATARAPHA WONGSAROJ MD PC
Location Address8700 BEVERLY BLVDWest Hollywood, CA 90048-1804
Mailing Address305 Arnaz Dr Apt 104Los Angeles, CA 90048-3823 · (818) 653-4889 · Fax (818) 862-9587
Organization SubpartNo
Authorized OfficialPatarapha WongsarojOwner · (818) 653-4889
Enumeration DateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1619720844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
8700 BEVERLY BLVD, West Hollywood, CA 90048

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Patarapha Wongsaroj Md Pc 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 Patarapha Wongsaroj MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1174753784
8635 W 3RD ST STE 1195W
Los Angeles, CA 90048
(310) 423-8663
✔ PECOS✔ Accepts Medicare0.2 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 Patarapha Wongsaroj MD PC's NPI number?

The NPI number for Patarapha Wongsaroj MD PC is 1619720844. It was assigned to this organization in the NPPES registry on April 8, 2024.

Where is Patarapha Wongsaroj MD PC located?

Patarapha Wongsaroj MD PC is located at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (818) 653-4889.

What is Patarapha Wongsaroj MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Patarapha Wongsaroj MD PC enrolled in Medicare?

Yes. Patarapha Wongsaroj MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patarapha Wongsaroj MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Patarapha Wongsaroj MD PC. 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 Patarapha Wongsaroj MD PC was last updated on April 8, 2024. 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.