Individual provider Active NPI

Kitti Kamm

  • Massage Therapist
  • Upland, CA
National Provider Identifier
1679449151
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
97023 Issued in CA
Practice address
435 W 9TH St Unit A5
Upland, CA 91786-5915
Phone
(949) 592-9556
NPI assigned
Oct 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 97023 CA Primary

Addresses

Primary practice location

435 W 9TH St Unit A5
Upland, CA 91786-5915

Mailing address

435 W 9TH St Unit A5
Upland, CA 91786-5915
Phone (949) 592-9556

Other names 1

  • Kitti Kiatputthiruk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1679449151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W 9TH ST UNIT A5",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865915",
            "telephone_number": "949-592-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W 9TH ST UNIT A5",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865915",
            "telephone_number": "949-592-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMM",
        "first_name": "KITTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "97023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KITTI",
            "last_name": "KIATPUTTHIRUK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.