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ISSAREEKORN GLAEWKETGARN
NPI 1659833960
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
1670 E 120TH ST, LOS ANGELES, CA 90059(424) 338-1470(310) 223-0663 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2023, Apr 4, 2019 (2 updates tracked since 2019).

About Issareekorn Glaewketgarn NPPES

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

ISSAREEKORN GLAEWKETGARN (NPI 1659833960) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659833960
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameISSAREEKORN GLAEWKETGARN
Location Address1670 E 120TH STLos Angeles, CA 90059-3026
Mailing Address1670 E 120th StLos Angeles, CA 90059-3026 · (424) 338-1470 · Fax (310) 223-0663
Phone(424) 338-1470
Fax(310) 223-0663
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
✔ NPI 1659833960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1670 E 120TH ST, Los Angeles, CA 90059
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Issareekorn Glaewketgarn 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 ID1759759715
PECOS Enrollment IDI20221122002556
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.

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.

MRS. MARIA ARACELI BERUMEN NP
Nurse Practitioner
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-1230
ALLEN R. OLIVARES
Respiratory Therapist, Registered
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-1484
JAMES ANTHONY BARRAMEDA GATAN LVN
Licensed Vocational Nurse
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-1070
JULIANA N AJOKU
Registered Nurse (Ambulatory Care)
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-1000
JENNIFER ELOISA CRUZ
Licensed Vocational Nurse
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-2930
ELIZABETH SALCIDO PEREZ
Licensed Vocational Nurse
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 758-9002
COUNTY OF LOS ANGELES
Obstetrics & Gynecology
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-2196
WENDY OLIVIA GLASS GIVENS MSW
Social Worker (Clinical)
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-1815

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 Issareekorn Glaewketgarn's NPI number?

The NPI number for Issareekorn Glaewketgarn is 1659833960. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Issareekorn Glaewketgarn located?

Issareekorn Glaewketgarn practices at 1670 E 120th St, Los Angeles, CA 90059. The listed phone number is (424) 338-1470.

What is Issareekorn Glaewketgarn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Issareekorn Glaewketgarn enrolled in Medicare?

Yes. Issareekorn Glaewketgarn 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.

When was this NPI record last updated?

The NPPES record for Issareekorn Glaewketgarn was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.