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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TIKAMPORN WUTTHAKUL
NPI 1144131384
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since September 16, 2026
3869 MIRAMAR ST # 2208, LA JOLLA, CA 92092(707) 631-4676 Get Directions Write a Review

NPPES record added: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Tikamporn Wutthakul NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIKAMPORN WUTTHAKUL (NPI 1144131384) is an individual student in an organized health care education/training program in La Jolla, California, licensed in California (51299) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1144131384
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTIKAMPORN WUTTHAKUL
Location Address3869 MIRAMAR ST # 2208La Jolla, CA 92092-0004
Mailing Address3869 Miramar St # 2208La Jolla, CA 92092-0004 · (707) 631-4676
Phone(707) 631-4676
Sole ProprietorYes
Enumeration DateSeptember 16, 2026
NPPES CertifiedSeptember 16, 2026
✔ NPI 1144131384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · 51299
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3869 MIRAMAR ST # 2208, La Jolla, CA 92092
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Other Names 1

Other Name (5)Fame Wutthakul

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tikamporn Wutthakul's NPI number?

The NPI number for Tikamporn Wutthakul is 1144131384. It was assigned to this individual provider in the NPPES registry on September 16, 2026. The provider is also known as Fame Wutthakul.

Where is Tikamporn Wutthakul located?

Tikamporn Wutthakul practices at 3869 Miramar St # 2208, La Jolla, CA 92092. The listed phone number is (707) 631-4676.

What is Tikamporn Wutthakul's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tikamporn Wutthakul was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.