Dr. Atipon Kangwanpornsiri, MD
Dr. Atipon Kangwanpornsiri, MD practises Nephrology in Nipomo, California. Qualified in 2005, 21 years ago. Practices with Community Health Centers of the Central Coast Inc, a 76-clinician group and accepts Medicare assignment. Licensed in California and South Carolina.
- Years since qualifying
- 21
- Licensed in
- CA, SC
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
150 Tejas PlNipomo, CA 93444-9123
Phone: (805) 929-3211
Fax: (805) 929-6354
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence A118291 (CA) |
|---|---|
| Nephrology Physician | Taxonomy 207RN0300X · Licence 36759 (SC) |
Record details
| NPI number | 1487854816 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 24, 2007 |
| Last updated in NPPES | June 30, 2021 |
| Certification date | June 30, 2021 |
Medicare enrollment
| Medicare specialty | NEPHROLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Community Health Centers Of The Central Coast Inc — 76 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 149 |
| Average patient age | 69 |
Payments from drug and device companies, 2025
| Food and Beverage | $14 |
|---|
Practises at
- Central Coast Home Health Inc Home health agency · San Luis Obispo, CA · listed as Central Coast Home Health, Inc
- Dignity Health Home Health Home health agency · Santa Maria, CA · listed as Dignity Health
- French Hospital Medical Center Hospital · San Luis Obispo, CA
- Marian Regional Medical Center Hospital · Santa Maria, CA
- Superior Home Health Home health agency · Lompoc, CA
Colleagues at Community Health Centers of the Central Coast Inc
- Noor Al-Saud, MD Internal Medicine Physician · Lompoc, CA
- Dr. Susan Bartolini, MD Pediatrics Physician · Santa Maria, CA
- Ben Cooke, MD Internal Medicine Physician · Atascadero, CA
- Mr. Daniel Edward Gross, LCSW Clinical Social Worker · San Luis Obispo, CA
- Dr. Perla M Park, MD Obstetrics & Gynecology Physician · Santa Maria, CA
- Dr. Joseph C Pon, DC Chiropractor · Santa Maria, CA
- Satish Padmaraj Raj, MD Family Medicine Physician · San Luis Obispo, CA
- Natalia V Schwartz, MD Family Medicine Physician · Nipomo, CA
- Mrs. Magdalena Sunshine Serrano, MSW, LCSW Clinical Social Worker · Santa Maria, CA
- Jude Edward Theriot, MD Neurology Physician · Conroe, TX
- Minh Hue Truong, MSW, LCSW Social Worker · Paso Robles, CA
- Dr. Billy Yu, DPM Foot & Ankle Surgery Podiatrist · Nipomo, CA