Kanokwan Sittikosonjit

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

86777 Issued in CA

Practice address

245 Main St
Venice, CA 90291-2590

Phone

(310) 399-5566

NPI assigned

Feb 9, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genesis Management Innovation Corp

  • Massage Therapist
  • Venice, CA
  • NPI 1710838917
  NPD (past)

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1689526154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N AVENUE 67",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900423003",
            "telephone_number": "626-464-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MAIN ST",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912590",
            "telephone_number": "310-399-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Fair Oaks Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910302679",
            "country_code": "US",
            "telephone_number": "626-799-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SITTIKOSONJIT",
        "first_name": "KANOKWAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "86777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith A Simon, OD
• Ilana Simons, PH.D.
• Mark Irwin Singer, M.D.
• Danielle Sinkford, N.P.
• Parichart Sittikosoljit
• Brigita Slekys, MSAOM, LAC
• Wendelin Margaret Slusser, M.D., M.S.
• Peter Smick
• Brandon Smith
• Dale A Smith II

• Massage Therapist in Venice, CA
• Providers in Venice, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.