AMNART A WONGWORAWAT (NPI# 1245264639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245264639 |
| Entity Type | Individual |
| Full Name | AMNART A WONGWORAWAT |
| Credential | M.D. |
| Practice Address |
41715 Winchester Rd Suite #201a Temecula CA 92590-4808 |
| Practice Telephone | 9516999201 |
| Practice Fax Number | 9516999205 |
| Mailing Telephone | 9516999201 |
| Mailing Fax Number | 9516999205 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | A74446 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A744460 | 05 |
| Street Address |
41715 WINCHESTER RD SUITE #201A |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184672545 | Brian Robert Sharp | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2006-05-05 |
| 1598395709 | Dustin Grossheim | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2020-01-16 |
| 1609300250 | Nikole Churchill | Nurse Practitioner | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2017-04-19 |
| 1093267171 | Aliuddin Khaja, Md., Inc | Psychologist | 41715 Winchester Rd, Suite 104, Temecula, CA 92590-4808 | 2016-10-25 |
| 1326599192 | Mariah Brooke Horvath | Physician Assistant | 41715 Winchester Rd, Suite #101, Temecula, CA 92590-4808 | 2016-10-17 |
| 1922471192 | Krista Russo | Physician Assistant | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2015-11-09 |
| 1629447602 | Lindsey Adele Mcatee | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2015-09-19 |
| 1558743906 | Michelle Marie Robert | Nurse Practitioner | 41715 Winchester Rd, Ste 101, Temecula, CA 92590-4808 | 2015-06-22 |
| 1962828863 | Amanda Alviz | Nurse Practitioner | 41715 Winchester Rd, Suite 101, Temecula, CA 92590 | 2014-03-15 |
| 1477897684 | Douglas Ebin Wong | Physician Assistant | 41715 Winchester Rd, Suite 101, Temecula, CA 92590-4808 | 2012-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760643779 | Phuong Minh Pham | Plastic Surgery | 41540 Winchester Rd Ste B, Temecula, CA 92590 | 2008-06-23 |
| 1326608480 | Soleimani Medical Group A Professional Medical Corporation | Plastic Surgery | 32827 Temecula Pkwy, Temecula, CA 92592-7313 | 2019-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696048 | Victor Liu Md, A Medical Corporation | Plastic Surgery | 1720 El Camino Real Ste 200, Burlingame, CA 94010-3226 | 2020-10-09 |
| 1629683255 | Veritas Aesthetics PC | Plastic Surgery | 23838 Valencia Blvd Ste 260, Valencia, CA 91355-5630 | 2020-09-10 |
| 1700405586 | Keyian Paydar, Md, PC | Plastic Surgery | 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 | 2020-04-13 |
| 1548892045 | Adventist Health Physicians Network | Plastic Surgery | 301 Science Dr Ste 180, Moorpark, CA 93021-0800 | 2020-02-12 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
| 1588125835 | Beauty Eternal, Inc | Plastic Surgery | 1260 East Ave Ste 130, Chico, CA 95926-1021 | 2019-03-28 |
| 1689131229 | Schoemann Reconstructive Surgery | Plastic Surgery | 477 N El Camino Real Ste D101, Encinitas, CA 92024-1370 | 2019-03-01 |
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| 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.