MS. SUKUMARN SARAH MINGVIRIYA MSHS PA-C ATRET NPI 1861601437

NPI Information

NPI: 1861601437
Provider Name: MS. SUKUMARN SARAH MINGVIRIYA, MSHS, PA-C, ATRET
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
39400 PASEO PADRE PKWY
FREMONT, CA
ZIP 94538
Phone: (510) 248-3000
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MS. Sukumarn Sarah Mingviriya, MSHS, PA-C, ATRET is a surgical physician assistant in Fremont, CA. MS. Sukumarn Sarah Mingviriya, MSHS, PA-C, ATRET NPI is 1861601437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

39400 PASEO PADRE PKWY
FREMONT, CA
ZIP 94538-310
Phone: (510) 248-3000

The NPI 1861601437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 1/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer			No
2	363AS0400X	Physician Assistant	Surgical	015283	NEW YORK	No
3	363AS0400X	Physician Assistant	Surgical	53437	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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