Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chutchatorn Pimsuparp, PA-C

Individual provider Physician Assistant · NPI 1720735392

Chutchatorn Pimsuparp, PA-C is a Physician Assistant in Santa Ana, California. Qualified in 2021, 5 years ago. Practices with J Robert West MD Inc, a 138-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1610 W Edinger Ave Ste B
Santa Ana, CA 92704-4339
Phone: (714) 641-1610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3828 Schaufele Ave Ste 300, Long Beach, CA 90808-1793 — (562) 997-1144

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60765 (CA)

Record details

NPI number1720735392
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2022
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice J Robert West Md Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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