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

Individual provider Psychiatry Physician · NPI 1114031721

Dr. Phacharawut Kanchananakhin, MD is a Psychiatry in Davis, California. Qualified in 1996, 30 years ago. Practices with Ridgecrest Regional Hospital, a 94-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2006
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

1712 Picasso Ave Ste D
Davis, CA 95618-0546
Phone: (916) 576-7898
Fax: (916) 285-0338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A91630 (CA)

Record details

NPI number1114031721
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESOctober 4, 2016

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesGERIATRIC PSYCHIATRY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Ridgecrest Regional Hospital — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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