SASITHORN PRASERTSITH (NPI# 1104201680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104201680 |
| Entity Type | Individual |
| Full Name | SASITHORN PRASERTSITH |
| Practice Address |
12900 Garden Grove Blvd Ste 214a Garden Grove CA 92843-2006 |
| Practice Telephone | 7146369095 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
12900 GARDEN GROVE BLVD STE 214A |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114176781 | Michelle Mai Nguyen | Social Worker | 12900 Garden Grove Blvd Ste 214a, Garden Grove, CA 92843-2006 | 2008-09-18 |
| 1477084747 | David Ho | Case Manager/Care Coordinator | 12900 Garden Grove Blvd Ste 214a, Garden Grove, CA 92843-2006 | 2017-03-27 |
| 1336687151 | Huy Thinh | Case Manager/Care Coordinator | 12900 Garden Grove Blvd Ste 214a, Garden Grove, CA 92843-2006 | 2017-02-01 |
| 1083161269 | Christine Jehng | Case Manager/Care Coordinator | 12900 Garden Grove Blvd Ste 214a, Garden Grove, CA 92843-2006 | 2016-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1487022539 | Laura Bosworth, Inc | Counselor | 12881 Knott St Ste 106, Garden Grove, CA 92841-3939 | 2015-09-07 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1194126201 | Hoang Bruce Nguyen | Counselor | 12755 Brookhurst St Ste 116&205, Garden Grove, CA 92840-4857 | 2014-09-08 |
| 1699182634 | Kevin Le | Counselor | 12755 Brookhurst St Ste 205, Garden Grove, CA 92840-4856 | 2014-07-22 |
| 1841548807 | Tuong-vi Thi Vu | Counselor | 12777 Garden Grove Blvd, Apt # 208, Garden Grove, CA 92843-1935 | 2012-08-24 |
| 1356620728 | Salvador Navarro | Counselor | 9862 W. Chapman Ave, Garden Grove, CA 92841-2841 | 2011-08-16 |
| 1316226889 | Laura Macias Zamora | Counselor | 9862 West Chapman Avenue, Garden Grove, CA 92646 | 2011-08-15 |
| 1487883120 | Mari Kawai | Counselor | 11358 Knott St, Garden Grove, CA 92841-1400 | 2009-07-02 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
Please comment or provide details below to improve the information on SASITHORN PRASERTSITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.