Chaivat Phuvadakorn, MD - Medicare Internal Medicine in Los Angeles, CA

Chaivat Phuvadakorn, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Los Angeles, California. His current practice location is 351 E Temple St, Mail Code Laacc Home Based Primary Care A127a, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 253-5018.

Chaivat Phuvadakorn is licensed to practice in California (license number 122504) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164793816.

Contact Information

Chaivat Phuvadakorn, MD
351 E Temple St, Mail Code Laacc Home Based Primary Care A127a,
Los Angeles, CA 90012-3328
(213) 253-5018
(213) 253-5018

Map and Direction




Physician's Profile

Full NameChaivat Phuvadakorn
GenderMale
SpecialityInternal Medicine - Geriatric Medicine
Location351 E Temple St, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164793816
  • Provider Enumeration Date: 01/25/2012
  • Last Update Date: 05/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709190614
  • Enrollment ID: I20230525000073

Medical Identifiers

Medical identifiers for Chaivat Phuvadakorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164793816NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A122504 (California)Secondary
207RG0300XInternal Medicine - Geriatric Medicine 122504 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chaivat Phuvadakorn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chaivat Phuvadakorn, MD
1322 E Maple St,
Glendale, CA 91205-2607

Ph: (424) 236-2767
Chaivat Phuvadakorn, MD
351 E Temple St, Mail Code Laacc Home Based Primary Care A127a,
Los Angeles, CA 90012-3328

Ph: (213) 253-5018

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.