Physician Compare National (NPI:1962727123)

HEALTHCARE PROVIDER: PIANGWARIN PHAOSAWASDI M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1962727123
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567774326
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150707003459
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PHAOSAWASDI
	Individual professional last name
Provider First Name	PIANGWARIN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HOSPITALIST
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERNAL MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HOSPITALIST, INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ONG RUBIN SHAHMIR A MEDICAL CORPORATION
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7315123007
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1360 BURTON DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 160
	Group Practice or individual's line 2 address
City	VACAVILLE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	956873560
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7074464379
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050367
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHBAY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050009
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	QUEEN OF THE VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050108
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SUTTER MEDICAL CENTER, SACRAMENTO
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050537
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SUTTER DAVIS HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y