Dr Somsupha Kanjanauthai, MD in Los Angeles, CA - Medicare Interventional Cardiology

Dr Somsupha Kanjanauthai, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Los Angeles, California. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Interventional Cardiology. She is a member of the group practice Pacifica Health Foundation and her current practice location is 1300 N Vermont Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 913-4200.

Dr Somsupha Kanjanauthai is licensed to practice in California (license number A103083) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285843979.

Contact Information

	Dr Somsupha Kanjanauthai, MD
	1300 N Vermont Ave, Los Angeles, CA 90027-6098
	(323) 913-4200
	(510) 281-0766

Map and Direction

Physician's Profile

Full Name	Dr Somsupha Kanjanauthai
Gender	Female
Speciality	Interventional Cardiology
Experience	22 Years
Location	1300 N Vermont Ave, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Somsupha Kanjanauthai graduated from medical school in 2002

NPI Data:

NPI Number: 1285843979
Provider Enumeration Date: 05/21/2007
Last Update Date: 07/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9537315965
Enrollment ID: I20180830003239

Medical Identifiers

Medical identifiers for Dr Somsupha Kanjanauthai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285843979	NPI	-	NPPES
201073310A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	A103083 (California)	Primary
207R00000X	Internal Medicine	A103083 (California)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	A103083 (California)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	22647 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hollywood Presbyterian Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pacifica Health Foundation	1850726290	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Somsupha Kanjanauthai allows following entities to bill medicare on her behalf.

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

Entity Name	Pacifica Health Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356998272 PECOS PAC ID: 1850726290 Enrollment ID: O20200114000376

Entity Name	Pacifica Foundation Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386352466 PECOS PAC ID: 0648624718 Enrollment ID: O20230922001415

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. Dr Somsupha Kanjanauthai 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 Address	Practice Location Address
Dr Somsupha Kanjanauthai, MD 1300 N Vermont Ave, Los Angeles, CA 90027-6098 Ph: (323) 913-4200	Dr Somsupha Kanjanauthai, MD 1300 N Vermont Ave, Los Angeles, CA 90027-6098 Ph: (323) 913-4200

Reviews and Comments

Internal Medicine Doctors in Los Angeles, CA

Dr. Linda Fong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290
Dr. Robert Peter Gale, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010
Dr. Tarek Alasil, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8616 La Tijera Blvd Ste 404, Los Angeles, CA 90045 Phone: 310-673-2020 Fax: 310-469-5290
David Michael Tellalian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308
Dr. Jan B King, M.D., M.P.H. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701
Dr. Caroline Hwang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100
Dr. Jennifer A Fulcher, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225

Dr Somsupha Kanjanauthai, MD - Medicare Interventional Cardiology in Los Angeles, CA