DR. PUMIPAK TANTAMJARIK MD, FAAFP
NPI 1891789566
Family Medicine in Santa Ana, CA

Q: What is Pumipak Tantamjarik's NPI number?

The NPI number for Pumipak Tantamjarik is 1891789566. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Pumipak Tantamjarik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 08, 2005PECOS Enrolled

1610 W EDINGER AVE STE B, SANTA ANA, CA 92704(714) 641-1610(714) 641-1146 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Feb 23, 2023, Apr 6, 2022 (3 updates tracked since 2022).

On this page

About Dr. Pumipak Tantamjarik Md, Faafp NPPES

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

DR. PUMIPAK TANTAMJARIK MD, FAAFP (NPI 1891789566) is an individual family medicine provider in Santa Ana, California, licensed in California (A71362) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891789566

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PUMIPAK TANTAMJARIKCredential: MD, FAAFP

Location Address1610 W EDINGER AVE STE BSanta Ana, CA 92704-4339

Mailing Address1610 W Edinger Ave Ste BSanta Ana, CA 92704-4339 · (714) 641-1610 · Fax (714) 641-1146

Phone(714) 641-1610

Fax(714) 641-1146

Sole ProprietorNo

Enumeration DateSeptember 8, 2005

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2023

✔ NPI 1891789566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A71362

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1610 W EDINGER AVE STE B, Santa Ana, CA 92704

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pumipak Tantamjarik Md, Faafp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92704 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANTAM MEDICAL GROUP, INC.

Family Medicine