TANYA WATARASTAPORN MD
NPI 1699413955
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Tanya Watarastaporn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANYA WATARASTAPORN MD (NPI 1699413955) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tanya Watarastaporn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Tanya Watarastaporn's NPI number?
The NPI number for Tanya Watarastaporn is 1699413955. It was assigned to this individual provider in the NPPES registry on May 25, 2022.
Where is Tanya Watarastaporn located?
Tanya Watarastaporn practices at 1450 San Pablo St Hc4 Suite 3000, Los Angeles, CA 90033. The listed phone number is (323) 442-5250.
What is Tanya Watarastaporn's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tanya Watarastaporn enrolled in Medicare?
Yes. Tanya Watarastaporn is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tanya Watarastaporn was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tanya Watarastaporn, MD · NPI 1699413955
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 25, 2022.
## Identity
- **NPI:** 1699413955 (Entity type: Individual)
- **Enumerated:** May 25, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 SAN PABLO ST, HC4 SUITE 3000, Los Angeles, CA 90033-5331
- **Phone:** (323) 442-5250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699413955) · Data from the CMS NPPES public registry.