DR. CHAIYAPORN BOONCHALERMVICHIAN MD NPI 1801046867

NPI Information

  • NPI: 1801046867
  • Provider Name: DR. CHAIYAPORN BOONCHALERMVICHIAN, MD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11480 BROOKSHIRE AVE
    SUITE 309
    DOWNEY, CA
    ZIP 90241
  • Phone: (562) 869-1201

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NPI Details

DR. Chaiyaporn Boonchalermvichian, MD is a hematology and oncology internal medicine in Downey, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Chaiyaporn Boonchalermvichian, MD NPI is 1801046867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11480 BROOKSHIRE AVE
SUITE 309
DOWNEY, CA
ZIP 90241-018
Phone: (562) 869-1201
Fax: (562) 869-1281

The NPI 1801046867 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 9/26/2008 and was last updated on 10/24/2025.

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
1207RH0003XInternal MedicineHematology & Oncology01098101AINDIANANo
2207RX0202XInternal MedicineMedical Oncology01098101AINDIANANo
3282N00000XGeneral Acute Care Hospital2008014384MISSOURINo
4207RH0000XInternal MedicineHematology01098101AINDIANANo
5207R00000XInternal Medicine01098101AINDIANANo
6207RH0003XInternal MedicineHematology & OncologyA112439CALIFORNIAYes

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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