Mikey Thanteraphong

Nurse Practitioner | 8+ years Exp

3175 Old Conejo Rd # 200, Newbury Park
  California, 91320-2151
818-835-7355
Accepts Medicare Nurse Anesthetist in Newbury Park, California.
Mikey Thanteraphong is a Newbury Park, California based nurse practitioner with 8 years of experience in . He completed his graduation in 2016. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mikey Thanteraphong is 95013063 in California. His current practice location is 3175 Old Conejo Rd # 200, Newbury Park. Patients can reach him at 818-835-7355 and his NPI number (Unique professional ID assigned by NPPES) is 1437795333.
Mikey Thanteraphong has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mikey Thanteraphong speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mikey Thanteraphong
Specialization: Nurse Practitioner (NP)
Gender:Male
Experience: 8+ years
Medical School Attended:Other
Graduation Year:2016
Accepts Medicare Assignment:Yes
Practice Address:3175 Old Conejo Rd # 200, Newbury Park,
California, 91320-2151
Phone:818-835-7355
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6507137684
Enrollment ID: I20211027002125
NPI Number: 1437795333
NPI Enumeration Date: 26 Nov, 2019
NPI Last Update On: 06 Feb, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mikey Thanteraphong are as mentioned below.
License NumberSpecializationStateStatus
95013063 CaliforniaPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mikey Thanteraphong is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
First Aid Urgent Care Inc (6709106453)5
Nightingale Clinical Care, Pc (2365871464)37
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mikey Thanteraphong
3175 Old Conejo Rd # 200,
Newbury Park, California
Zip: 91320-2151
Phone Number: 818-835-7355
Patients can reach Mikey Thanteraphong at 3175 Old Conejo Rd # 200, Newbury Park, California or can call to book an appointment on 818-835-7355.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.