Dr. Atipon Kangwanpornsiri, MD
Dr. Atipon Kangwanpornsiri, MD is a Nephrology in Nipomo, California. Qualified in 2005, 21 years ago. Practices with Community Health Centers of the Central Coast Inc, a 76-clinician group and accepts Medicare assignment. Licensed in California and South Carolina.
- Years since qualifying
- 21
- Licensed in
- CA, SC
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
150 Tejas PlNipomo, CA 93444-9123
Phone: (805) 929-3211
Fax: (805) 929-6354
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence A118291 (CA) |
|---|---|
| Nephrology Physician | Taxonomy 207RN0300X · Licence 36759 (SC) |
Record details
| NPI number | 1487854816 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 24, 2007 |
| Last updated in NPPES | June 30, 2021 |
| Certification date | June 30, 2021 |
Medicare enrollment
| Medicare specialty | NEPHROLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Community Health Centers Of The Central Coast Inc — 76 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |