Ketsana Vilaysane
Medical Specialty
Professional ID
- NPI: 1356321384
- PECOS ID: 5890752265
- Enrollment ID: I20041216001028
- Credential(MD, DO, DPM): MD
- Medical School:
- Medical School Graduation Year: 2001
Hospital Service
- Hospital CCN1: 050168
- Business Name (LBN)1: St Jude Medical Center
Medical Practices
- Organization Name: Bright Health Physicians Of Pih
- Group Practice ID assigned by PECOS: 8426951328
- Number of Group Practice member: 190
Location
- Address1: 15733 Whittier Blvd
- Address2:
- City: Whittier
- State: California
- Zip Code: 90603
- Phone Number: (562)947-7754
Medical Practices
- Organization Name: St Joseph Heritage Healthcare
- Group Practice ID assigned by PECOS: 8921993205
- Number of Group Practice member: 989
Location
- Address1: 100 E Valencia Mesa Dr
- Address2: Suite 105
- City: Fullerton
- State: California
- Zip Code: 92835
- Phone Number: (714)446-5200
Location
- Address1: 1514 S Valley Vista
- Address2:
- City: Diamond Bar
- State: California
- Zip Code: 91765
- Phone Number: (909)860-1144
Location
- Address1: 2251 N Harbor Blvd
- Address2:
- City: Fullerton
- State: California
- Zip Code: 92835
- Phone Number: (714)449-6230
Location
- Address1: 4900 Prospect Ave
- Address2:
- City: Yorba Linda
- State: California
- Zip Code: 92886
- Phone Number: (714)528-4211
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes