MR. PHOLPHAT INPIROM (NPI# 1568701209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568701209 |
| Entity Type | Individual |
| Full Name | MR. PHOLPHAT INPIROM |
| Practice Address |
3549 Castle Glen Dr Unit 128 San Diego CA 92123-2432 |
| Practice Telephone | 6199552360 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
504629 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3549 CASTLE GLEN DR UNIT 128 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306234703 | Socal Surgical Imaging | Radiologic Technologist | 10755 Scripps Poway Pkwy # 709, San Diego, CA 92131-3924 | 2015-01-07 |
| 1083891550 | Ernel Daleva Raymundo | Radiologic Technologist | 6236 Vista Santa Clara, San Diego, CA 92154-5626 | 2008-01-28 |
| 1407038284 | Brian Joseph Granacki | Radiologic Technologist | 1450 Chalcedony St Apt 9, San Diego, CA 92109-2130 | 2007-12-03 |
| 1104038124 | Robert Ellis Truitt Jr. | Radiologic Technologist | 2950 Fern Ave, San Diego, CA 92154-3411 | 2007-05-03 |
| 1306263470 | Eric Lamarca | Radiologic Technologist | 4510 Executive Dr, Suite 125, San Diego, CA 92121-3021 | 2014-03-26 |
| 1336497544 | Janet Todd Johnson | Radiologic Technologist | 10737 Camino Ruiz, Suite 105, San Diego, CA 92126-2359 | 2012-08-20 |
| 1083845507 | Roy Anthony Brown | Radiologic Technologist | 5288 Eastgate Mall, San Diego, CA 92121-2835 | 2009-07-31 |
| 1881850709 | Sergio Hinojosa | Radiologic Technologist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2008-07-30 |
| 1780869529 | George Jeffrey Reeves | Radiologic Technologist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2007-12-28 |
| 1871797761 | Forest Imaging, Inc. | Radiologic Technologist | 5288 Eastgate Mall, Suite A, San Diego, CA 92121-2835 | 2007-06-13 |
| Find all providers in SAN DIEGO | ||||
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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.