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

Dr. Patarapha Wongsaroj, MD

Individual provider Internal Medicine Physician · NPI 1174753784

Dr. Patarapha Wongsaroj, MD is a Nephrology in Los Angeles, California. Qualified in 2006, 20 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
20
Licensed in
CA, MA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8635 W 3rd St Ste 1195W
Los Angeles, CA 90048-6146
Phone: (310) 423-8663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 — (323) 644-3880

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A119992 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 241226 (MA)

Record details

NPI number1174753784
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2009
Last updated in NPPESJuly 1, 2022
Certification dateJuly 1, 2022

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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