DR. SOMSUPHA KANJANAUTHAI M.D. NPI 1285843979

NPI Information

  • NPI: 1285843979
  • Provider Name: DR. SOMSUPHA KANJANAUTHAI, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 N VERMONT AVE
    LOS ANGELES, CA
    ZIP 90027
  • Phone: (323) 913-4200

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NPI Details

DR. Somsupha Kanjanauthai, M.D. is an interventional cardiology internal medicine in Los Angeles, CA with 24 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Somsupha Kanjanauthai, M.D. NPI is 1285843979. 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:

1300 N VERMONT AVE
LOS ANGELES, CA
ZIP 90027-098
Phone: (323) 913-4200
Fax: (510) 281-0766

The NPI 1285843979 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Coronary angioplasty and stenting (HCPCS:NAN05)

The enumeration date for this NPI number is 5/21/2007 and was last updated on 7/25/2023.

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
1207RI0011XInternal MedicineInterventional CardiologyA103083CALIFORNIAYes
2207R00000XInternal MedicineA103083CALIFORNIANo
3207RC0000XInternal MedicineCardiovascular DiseaseA103083CALIFORNIANo
4207RC0000XInternal MedicineCardiovascular Disease22647WISCONSINNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201073310AMEDICAIDKANSAS

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: 11/21/2025

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