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JITTIMA JIRASETPATANA
NPI 1992903710
Podiatrist in Glendale, CA

Active since July 03, 2007
1510 S CENTRAL AVE, SUITE 120, GLENDALE, CA 91204(818) 242-3668(818) 242-2425 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jittima Jirasetpatana NPPES

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

JITTIMA JIRASETPATANA (NPI 1992903710) is a healthcare organization registered as a podiatrist in Glendale, California and active in the NPI registry since July 2007. The organization lists Jittima Jirasetpatana, Owner, as its authorized official.

NPPES Registry Identity

NPI1992903710
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameJITTIMA JIRASETPATANA
Location Address1510 S CENTRAL AVE, SUITE 120Glendale, CA 91204-2500
Mailing Address1510 S Central Ave Ste 120Glendale, CA 91204-2576 · (818) 242-3668 · Fax (818) 242-2425
Phone(818) 242-3668
Fax(818) 242-2425
Organization SubpartNo
Authorized OfficialJittima JirasetpatanaOwner · (818) 242-3668
Enumeration DateJuly 3, 2007
Last NPPES UpdateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1992903710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · E4442
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1510 S CENTRAL AVE, Glendale, CA 91204
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jittima Jirasetpatana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jittima Jirasetpatana, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jittima Jirasetpatana, D.P.M.
Podiatry
NPI 1114021789
1510 S CENTRAL AVE SUITE 120
Glendale, CA 91204
(818) 242-3668
✔ PECOSSame address

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

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 Jittima Jirasetpatana's NPI number?

The NPI number for Jittima Jirasetpatana is 1992903710. It was assigned to this organization in the NPPES registry on July 3, 2007.

Where is Jittima Jirasetpatana located?

Jittima Jirasetpatana is located at 1510 S Central Ave Suite 120, Glendale, CA 91204. The listed phone number is (818) 242-3668.

What is Jittima Jirasetpatana's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Jittima Jirasetpatana enrolled in Medicare?

Yes. Jittima Jirasetpatana is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jittima Jirasetpatana?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Jittima Jirasetpatana. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jittima Jirasetpatana was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.