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

Siraphob Chansangavej, MD

Individual provider Hospitalist Physician · NPI 1386268027

Siraphob Chansangavej, MD is a Hospitalist in San Rafael, California. Graduated from Tulane University School of Medicine in 2020, 6 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Trained at
Tulane University School of Medicine
Licensed in
LA
In the registry since
2020
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

99 Montecillo Rd
San Rafael, CA 94903-3308
Phone: (415) 791-1329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 337657 (LA)

Record details

NPI number1386268027
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 28, 2020
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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