CHATRATHIP NASONGKLA DO
NPI 1639799760
Internal Medicine in San Diego, CA

Active since April 18, 2020PECOS EnrolledAccepts Medicare Assignment
1601 PRECISION PARK LN, SAN DIEGO, CA 92173(619) 227-1710 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2025, Apr 18, 2020 (2 updates tracked since 2020).

About Chatrathip Nasongkla Do NPPES

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

CHATRATHIP NASONGKLA DO (NPI 1639799760) is an individual internal medicine provider in San Diego, California, licensed in California (20A22076) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lebanon, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639799760
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCHATRATHIP NASONGKLACredential: DO
Location Address1601 PRECISION PARK LNSan Diego, CA 92173-1345
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 227-1710
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 18, 2020
Last NPPES UpdateApril 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1639799760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A22076
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1601 PRECISION PARK LN, San Diego, CA 92173

Secondary Practice Location 1

Location 1200 Mullins DrLebanon, OR 97355-3983 · Phone (541) 259-0235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chatrathip Nasongkla Do 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 ID244756625
PECOS Enrollment IDI20250429001510
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.

Medicare Billing Reassignment

Medicare enrollment records show Chatrathip Nasongkla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1666 PRECISION PARK LN
San Diego, CA 92173
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 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.

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.

Student in an Organized Health Care Education/Training Program
1601 PRECISION PARK LN
SAN DIEGO, CA 92173
Physician Assistant (Medical)
1601 PRECISION PARK LN
SAN DIEGO, CA 92173
Emergency Medicine
1601 PRECISION PARK LN
SAN DIEGO, CA 92173
Student in an Organized Health Care Education/Training Program
1601 PRECISION PARK LN
SAN DIEGO, CA 92173
Family Medicine
1601 PRECISION PARK LN
SAN DIEGO, CA 92173
Student in an Organized Health Care Education/Training Program
1601 PRECISION PARK LN
SAN YSIDRO, CA 92173
Dietitian, Registered
1601 PRECISION PARK LN
SAN YSIDRO, CA 92173
Social Worker (Clinical)
1601 PRECISION PARK LN
SAN DIEGO, CA 92173

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 Chatrathip Nasongkla's NPI number?

The NPI number for Chatrathip Nasongkla is 1639799760. It was assigned to this individual provider in the NPPES registry on April 18, 2020.

Where is Chatrathip Nasongkla located?

Chatrathip Nasongkla practices at 1601 Precision Park Ln, San Diego, CA 92173. The listed phone number is (619) 227-1710.

What is Chatrathip Nasongkla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Chatrathip Nasongkla enrolled in Medicare?

Yes. Chatrathip Nasongkla 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.

Which organization bills Medicare for Chatrathip Nasongkla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chatrathip Nasongkla reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (San Diego, CA). The 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 Chatrathip Nasongkla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chatrathip Nasongkla was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.