DR. KANOKRAT SUKSOMPOTH (NPI# 1831109131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831109131 |
| Entity Type | Individual |
| Full Name | DR. KANOKRAT SUKSOMPOTH |
| Credential | M.D. |
| Practice Address |
255 E Bonita Ave Bldg 1b Pomona CA 91767-1923 |
| Mailing Address |
310 N Indian Hill Blvd Pmb 801 Claremont CA 91711-4611 |
| Practice Telephone | 9092757470 |
| Practice Fax Number | 9099714532 |
| Mailing Telephone | 9092757470 |
| Mailing Fax Number | 9099714532 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35749 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
A96983 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTH CHOICE OF AZ | 117346 | 01 |
| AZ | 117346 | 05 | |
| AZ | AETNA | 7789806 | 01 |
| AZ | HEALTH NET OF AZ | 2Z7810 | 01 |
| Street Address |
255 E BONITA AVE BLDG 1B |
| City | POMONA |
| State | CA |
| Zip Code | 91767-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460154 | John P Mourani | Internal Medicine | 255 E Bonita Ave Bldg 1b, Pomona, CA 91767-1923 | 2006-05-04 |
| 1487903399 | Prohealth Partners A Medical Group Inc | Internal Medicine | 255 E Bonita Ave Bldg 1b, Pomona, CA 91767-1923 | 2012-09-06 |
| 1881856995 | Irene Bakman | Internal Medicine | 255 E Bonita Ave Bldg 1b, Pomona, CA 91767-1923 | 2008-06-30 |
| 1033226949 | Ossama Maloule | Internal Medicine | 255 E Bonita Ave Bldg 1b, Pomona, CA 91767-1923 | 2006-08-24 |
| 1598703654 | Daniel Peter Gluckstein | Internal Medicine | 255 E Bonita Ave Bldg 1b, Pomona, CA 91767-1923 | 2006-06-02 |
| 1417995598 | Inland Valley Infectious Disease Medical Group Inc | Internal Medicine | 255 E Bonita Ave Bldg 1b, Pomona, CA 91767-1923 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033776307 | Debra K Strauss Md | Internal Medicine | 11 Medical Park Dr Ste 206, Pomona, NY 10970-3560 | 2019-05-22 |
| 1760785414 | Manish Niranjan Trivedi | Internal Medicine | 208 West Whitehorse Pike, Pomona, NJ 08240 | 2010-12-17 |
| 1801059183 | Paras Chandrakant Udani | Internal Medicine | 208 W White Horse Pike, Pomona, NJ 08240-0907 | 2008-07-07 |
| 1174718522 | Marela Zoe Velez | Internal Medicine | 50 Sanatorium Rd Bldg D, Pomona, NY 10970-3555 | 2007-09-10 |
| 1962460154 | John P Mourani | Internal Medicine | 255 E Bonita Ave Bldg 1b, Pomona, CA 91767-1923 | 2006-05-04 |
| 1881691269 | Nishita Somabhai Patel | Internal Medicine | 795 E 2nd St Ste 5, Pomona, CA 91766-2007 | 2005-06-30 |
| 1306138706 | Kerry N Gott Md Inc | Internal Medicine | 255 E Bonita Ave, Pomona, CA 91767-1923 | 2011-05-04 |
| 1881856995 | Irene Bakman | Internal Medicine | 255 E Bonita Ave Bldg 1b, Pomona, CA 91767-1923 | 2008-06-30 |
| 1477677979 | Anil Vaidian | Internal Medicine | 50 Sanitorium Rd, Bldg D, Pomona, NY 10970-3555 | 2007-03-19 |
| 1104922806 | Vinod K Dhawan | Internal Medicine | 1902 Royalty Dr, Suite 200, Pomona, CA 91767 | 2006-09-16 |
| Find all providers in POMONA | ||||
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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.