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

Ritt Rungsisullatanont

Individual provider Physician Assistant · NPI 1508587676

Ritt Rungsisullatanont is a Physician Assistant in Fountain Valley, California. Qualified in 2022, 4 years ago. Practices with Orthowest, a 47-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

8700 Warner Ave Ste 140
Fountain Valley, CA 92708-3209
Phone: (714) 850-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6619 Via Gancho Cir, Buena Park, CA 90620-4117 — (562) 857-7302

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1508587676
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 7, 2022
Last updated in NPPESMarch 23, 2024
Certification dateMarch 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Orthowest — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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