MR. JOE POTCHANARD CHAUVAPUN (NPI# 1487842597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487842597 |
| Entity Type | Individual |
| Full Name | MR. JOE POTCHANARD CHAUVAPUN |
| Credential | M.D. |
| Practice Address |
15030 7th St Victorville CA 92395-3811 |
| Mailing Address |
15030 7th St Department of Surgery Victorville CA 92395-3811 |
| Practice Telephone | 7609510065 |
| Practice Fax Number | 7609515382 |
| Mailing Telephone | 7609510065 |
| Mailing Fax Number | 7609515382 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A104925 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP | M050376 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16077 Kamana Rd, Apple Valley, CA 923071331 | 7609510065 | 7609515382 |
| 2150 N Waterman Ave Ste 300, San Bernardino, CA 924044811 | 7609510065 | 7609515382 |
| 38920 Trade Center Dr, Palmdale, CA 935513715 | 7609510065 | 7609515382 |
| 601 S Figueroa St Ste 405, Los Angeles, CA 900175704 | 3234844343 | |
| 12575 Beatrice St, Los Angeles, CA 900667001 | 3234380483 | 3108626817 |
| Street Address |
15030 7TH ST |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700896529 | William F Mccarron | Podiatrist | 15030 7th St, Victorville, CA 92395-3811 | 2006-08-08 |
| 1689290827 | Nicole Ray | Nurse Practitioner | 15030 7th St, Victorville, CA 92395-3811 | 2020-06-23 |
| 1821552308 | Pamela Gambrell | Nurse Practitioner | 15030 7th St, Victorville, CA 92395-3811 | 2019-01-29 |
| 1902061716 | Suttatip Vechvitvarakul | Surgery | 15030 7th St, Victorville, CA 92395-3811 | 2008-07-21 |
| 1679733927 | Phong Thanh Dargon | Surgery | 15030 7th St, Victorville, CA 92395-3811 | 2008-06-11 |
| 1457569519 | Jason Todd Chiriano | Surgery | 15030 7th St, Victorville, CA 92395-3811 | 2007-05-20 |
| 1215046396 | William David Suval | Specialist | 15030 7th St, Victorville, CA 92395-3811 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902061716 | Suttatip Vechvitvarakul | Surgery | 15030 7th St, Victorville, CA 92395-3811 | 2008-07-21 |
| 1457569519 | Jason Todd Chiriano | Surgery | 15030 7th St, Victorville, CA 92395-3811 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
Please comment or provide details below to improve the information on MR. JOE POTCHANARD CHAUVAPUN.
| 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.