Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chatrathip Nasongkla, DO

Individual provider Internal Medicine Physician · NPI 1639799760

Chatrathip Nasongkla, DO is an Internal Medicine in San Diego, California. Qualified in 2022, 4 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1601 Precision Park Ln
San Diego, CA 92173-1345
Phone: (619) 227-1710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Mullins Dr, Lebanon, OR 97355-3983 — (541) 259-0235

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A22076 (CA)

Record details

NPI number1639799760
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 18, 2020
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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