Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juthamas Kositsawat

Individual provider Obstetrics & Gynecology Physician · NPI 1104246016

Juthamas Kositsawat practises Obstetrics/Gynecology in Loma Linda, California. Graduated from Loma Linda University School of Medicine in 2014, 12 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

11370 Anderson St
Loma Linda, CA 92354
Phone: (909) 558-2806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11234 Anderson St, Loma Linda, CA 92354-2804 — (909) 558-4763

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A139735 (CA)

Record details

NPI number1104246016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2014
Last updated in NPPESSeptember 24, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Faculty Physicians and Surgeons of Llusm

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1308 clinicians in the practice; 12 are shown here.

Other providers in Loma Linda