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KRIENGSAK ITSARA MD, NPI 1558363739

Internal Medicine in MODESTO, CA

Last Updated on : Feb 25,2008

About KRIENGSAK ITSARA (NPI 1558363739)


KRIENGSAK ITSARA is an Internal Medicine provider in MODESTO, United States. His medical specialization is Internal Medicine with a focus in Nephrology.

1558363739 is NPI number of KRIENGSAK ITSARA.

KRIENGSAK ITSARA's primary taxonomy code based on NPI Lookup is 207RN0300X with license number A33103. This taxonomy code refers to Internal Medicine.

KRIENGSAK ITSARA has more than 16 years of experience.

KRIENGSAK ITSARA current practice location address is 305 E GRANGER AVE, MODESTO, CA. KRIENGSAK ITSARA can be reached out via phone at 206-526-1606 and via fax at 209-526-1677 .

You can also correspond with KRIENGSAK ITSARA through mail at mailing address 305 E GRANGER AVE, MODESTO, CA, United States. Mailing address contact number is 206-526-1606.

The enumeration date of KRIENGSAK ITSARA is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 14 years ago.

1558363739 NPI Information

Name KRIENGSAK ITSARA
National Provider Id (NPI) 1558363739
Entity Type Individual
Gender M
Credential MD
Practice Address 305 E GRANGER AVE, STE 202
MODESTO, CA, United States
Practice Telephone 206-526-1606
Practice Fax Number 209-526-1677
Mailing Address 305 E GRANGER AVE , STE 202
MODESTO, CA, United States
Mailing Telephone 206-526-1606
Mailing Fax Number 209-526-1677
Enumeration Date 01-Jun-2005
Last Updated Date 25-Feb-2008

KRIENGSAK ITSARA (NPI 1558363739) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207RN0300X Internal Medicine, Nephrology A33103 CA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
00A331030 MEDICAID (05) CA
00A331032 MEDICARE PIN (08) CA
A87778 MEDICARE UPIN (02) CA

KRIENGSAK ITSARA (NPI 1558363739) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1619398062 ORTHOPEDIC PHYSICAL THERAPY INSTITUTE, INC. Clinic/Center, Physical Therapy 4028 DALE RD, SUITE 101
MODESTO, CA, United States
01-Jan-2014
1154867513 NATASHA HERMIS Pharmacist, Ambulatory Care 3500 COFFEE ROAD,
MODESTO, CA, United States
10-Jan-2017
1710044888 DAVID DEAN NISLEY Physician Assistant, Surgical 1441 FLORIDA AVE, NEUROSURGERY PA
MODESTO, CA, United States
02-Jan-2007
1275690901 MARIA ELENA MADRIGAL Case Manager/Care Coordinator 500 N 9TH ST STE B,
MODESTO, CA, United States
02-Jan-2007
1083771729 STEPHEN E MCNAMARA Counselor, Professional 500 N 9TH ST STE B,
MODESTO, CA, United States
02-Jan-2007
1518024264 ELIZABETH ANN BENNETT Case Manager/Care Coordinator 500 N 9TH ST STE B,
MODESTO, CA, United States
02-Jan-2007
1851458509 SHANNON JEAN JENKINS Registered Nurse 2629 EL GOYA DR,
MODESTO, CA, United States
02-Jan-2007
1811054562 RAYMOND G FORNEY Specialist 321 EL RIO AVE,
MODESTO, CA, United States
02-Jan-2007
1447317102 SUZANNE HERRON Marriage & Family Therapist 1812 LAUREL OAK DR,
MODESTO, CA, United States
02-Jan-2007
1417014176 JOHN BLACK Specialist 5336 AVENUE D,
MODESTO, CA, United States
02-Jan-2007
1912064676 DONNA MARIE WAGNER Marriage & Family Therapist PO BOX 4282,
SONORA, CA, United States
02-Jan-2007
1548327216 JAMES RILEY Social Worker, Clinical 2713 EMERALD CT,
ATWATER, CA, United States
02-Jan-2007
1881751550 CHARLOTTE JUNE TACY Occupational Therapist 2929 FLOYD AVE, APT. 216
MODESTO, CA, United States
02-Jan-2007
1205993979 GABRIELLA CORTES Specialist 309 B ST,
WATERFORD, CA, United States
02-Jan-2007
1477610145 LORI NORWOOD Case Manager/Care Coordinator 500 N 9TH ST,
MODESTO, CA, United States
02-Jan-2007
1790842474 LINDA SANDERS Social Worker, Clinical 1328 MERRITT ST,
TURLOCK, CA, United States
02-Jan-2007
1932266517 CALLIE C GRAHAM Specialist 210 DOCKSIDE DR,
WATERFORD, CA, United States
02-Jan-2007
1114084704 MARCOS SANCHEZ Case Manager/Care Coordinator 500 N 9TH ST STE B,
MODESTO, CA, United States
02-Jan-2007
1366509952 YVONNE GARZA Specialist 1700 N TULLY RD, #E202
TURLOCK, CA, United States
02-Jan-2007
1669539292 BRAD EDWARD PEZOLDT Dentist, Orthodontics and Dentofacial Orthopedics 4320 ALSACE LN,
MODESTO, CA, United States
02-Jan-2007

FAQs

Whose NPI Number is 1558363739?

1558363739 is the NPI number of KRIENGSAK ITSARA.

What is the specialty for KRIENGSAK ITSARA?

The Specialty of KRIENGSAK ITSARA is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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