Phatthana Penmongkhon (NPI# 1811503493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1811503493 |
| Entity Type | Individual |
| Full Name | Phatthana Penmongkhon |
| Gender | Male |
| Practice Address |
1367 41st Ave San Francisco CA 94122-1206 |
| Practice Telephone | 4159997320 |
| Mailing Address |
1367 41st Ave San Francisco CA 94122-1206 |
| Mailing Telephone | 4159997320 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-19 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 8605 | CA |
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720684954 | Chadavarin Wessarojkit | Massage Therapist | 5754 Geary Blvd, San Francisco, CA 94121-2112 | 2020-12-11 |
| 1326643396 | Irina Clarkson | Massage Therapist | 835 Turk St Apt 614, San Francisco, CA 94102-7104 | 2020-11-30 |
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1467051078 | Warakorn Thepsutam | Massage Therapist | 270 26th Ave Apt 8, San Francisco, CA 94121-1153 | 2020-10-23 |
| 1790384550 | Zhijian Zheng | Massage Therapist | 339a W Portal Ave, San Francisco, CA 94127-1411 | 2020-10-22 |
| 1629677935 | Nadezhda Krutikova | Massage Therapist | 950 Pine St Apt 2, San Francisco, CA 94108-2910 | 2020-10-19 |
| 1073120333 | Pamela Yu | Massage Therapist | 69 Maxwell Ct, San Francisco, CA 94103-3575 | 2020-09-30 |
| 1649886482 | Matthew Makahiya | Massage Therapist | 240 Oak St Apt B, San Francisco, CA 94102-5871 | 2020-09-17 |
| 1881209260 | Backspace Mobile Massage Inc | Massage Therapist | 353 Church St, San Francisco, CA 94114-1718 | 2020-09-11 |
| 1346854767 | Zhifen Liang | Massage Therapist | 542 Holyoke St, San Francisco, CA 94134-1737 | 2020-09-02 |
| Find all providers in SAN FRANCISCO | ||||
| Street Address |
1367 41ST AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94122-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467057190 | Neha Milind Tamhane | Dentist | 434 Judah Street, San Francisco, CA 94122 | 2020-12-01 |
| 1780204347 | Christina Michelle Catalano | Physical Therapist | 764 18th Ave, East Brunswick, NJ 94122 | 2020-04-23 |
| 1528536877 | Marnie Kagan Weston | Psychologist | 1300 25th Avenue, Suite 100, San Francisco, CA 94122 | 2018-11-05 |
| 1649785510 | Maria Elena Williams | Registered Nurse | 1755 27th Ave., San Francisco, CA 94122 | 2017-12-13 |
| 1831608264 | Robert Kim | Ophthalmology | 95 Kirkham Avenue, 201, Box 0730, San Francisco, CA 94122 | 2017-09-28 |
| 1558889378 | Brittyn Coleman Nutrition | Dietitian, Registered | 1410 Funston Ave # 1, San Francisco, CA 94122 | 2017-08-31 |
| 1295251635 | Mary Bernadette Flynn | Doula | 1738 23rd Ave, San Francisco, CA 94122 | 2017-08-17 |
| 1740710524 | Kimberly Sui Fan Fung | Registered Nurse | 1279 22nd Ave, San Francisco, CA 94122 | 2017-06-14 |
| 1902335417 | Nadia Fakhoury | Chiropractor | 4027 Judah St, San Francisco, CA 94122 | 2017-06-08 |
| 1124567383 | Demi Pham | Dentist | 2040 Judah St, San Francisco, CA 94122 | 2017-02-21 |
| Find all providers in zip 94122 | ||||
| City | SAN FRANCISCO |
| Zip Code | 94122 |
Please comment or provide details below to improve the information on Phatthana Penmongkhon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.