MEDICARE: NARIN WONGNGAMNIT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	A113421	CA
2	2084P0800X	Psychiatry Physician	46059	CO

General Provider Information

NPI Number	:	1932255528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NARIN WONGNGAMNIT MD

Provider Business Mailing Address
First Line	:	4860 Y ST
Second Line	:	SUITE 3020
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2307
Country	:	US
Telephone Number	:	916-734-6688
Fax Number	:

Provider Business Practice Location Address
First Line	:	9135 RIDGELINE BLVD STE 160
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2395
Country	:	US
Telephone Number	:	888-374-5066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	08/05/2022

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