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

Dr. Pornthep Wattanamano, MD

Individual provider Internal Medicine Physician · NPI 1295738516

Dr. Pornthep Wattanamano, MD is an Internal Medicine in San Diego, California. Qualified in 1988, 38 years ago. Practices with Quantum Healthcare Medical Associates Inc, a 109-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
38
Licensed in
CA, TX
In the registry since
2005
Specialties on file
3
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

3335 Riviera Dr
San Diego, CA 92109-6614
Phone: (713) 384-3229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence L5950 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence C186338 (CA)
Infectious Disease Physician Taxonomy 207RI0200X · Licence C186338 (CA)

Record details

NPI number1295738516
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2005
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Quantum Healthcare Medical Associates Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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