PATANA PONGVARIN
NPI 1649762188
Registered Nurse - Addiction (Substance Use Disorder) in Costa Mesa, CA

Active since May 31, 2018
275 VICTORIA ST STE 1H, COSTA MESA, CA 92627(949) 629-2862 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patana Pongvarin NPPES

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

PATANA PONGVARIN (NPI 1649762188) is an individual addiction (substance use disorder) provider in Costa Mesa, California, licensed in California (VN227571) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1649762188
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NamePATANA PONGVARIN
Location Address275 VICTORIA ST STE 1HCosta Mesa, CA 92627-1906
Mailing Address275 Victoria St Ste 1hCosta Mesa, CA 92627-1906 · (949) 629-2862
Sole ProprietorYes
Enumeration DateMay 31, 2018
NPI 1649762188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License Licensed in CA · VN227571
275 VICTORIA ST STE 1H, Costa Mesa, CA 92627

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.

Licensed Vocational Nurse
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
Counselor (Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
Counselor (Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
Registered Nurse (Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
Licensed Vocational Nurse
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
Dermatology
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
Counselor (Addiction (Substance Use Disorder))
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627
Clinic/Center (Methadone)
275 VICTORIA ST STE 1H
COSTA MESA, CA 92627

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 Patana Pongvarin's NPI number?

The NPI number for Patana Pongvarin is 1649762188. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Patana Pongvarin located?

Patana Pongvarin practices at 275 Victoria St Ste 1H, Costa Mesa, CA 92627. The listed phone number is (949) 629-2862.

What is Patana Pongvarin's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Patana Pongvarin was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.