Provider Type Icon

DR. SRISAWAI PATTAMAKOM M.D. NPI 1114031648


NPI Information

NPI: 1114031648
Provider Name: DR. SRISAWAI PATTAMAKOM, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: COMMUNITY MEMORIAL HEALTH SYSTEM

PECOS Registration: Yes

Address:
2945 LOMA VISTA RD
VENTURA, CA
ZIP 93003
Phone: (805) 677-8003
Get Directions

DR. Srisawai Pattamakom, M.D. is an obstetrics gynecology in Ventura, CA with 36 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Srisawai Pattamakom, M.D. NPI is 1114031648. 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:

2945 LOMA VISTA RD
VENTURA, CA
ZIP 93003-915
Phone: (805) 677-8003
Fax: (805) 677-8404

The NPI 1114031648 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 8/19/2006 and was last updated on 1/17/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyG080945CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G94751MEDICARE UPINCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.