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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952047474

Sirisin Kamsut, MD is a Family Practice in Glendale, California. Graduated from Loma Linda University School of Medicine in 2022, 4 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
Loma Linda University School of Medicine
In the registry since
2022
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

1509 Wilson Terrace Glendale Ca 91206
Glendale, CA 91206
Phone: (818) 409-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 390200000X

Record details

NPI number1952047474
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2022
Last updated in NPPESMay 8, 2022
Certification dateMay 8, 2022
Mailing address1509 Wilson Terrace, Glendale, CA 91206

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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