1. Home
  2. Directory
  3. California
  4. Venice
  5. Massage Therapist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANDREW TANTISUKAROM
NPI 1407765837
Massage Therapist in Venice, CA

Active since September 02, 2026
2805 ABBOT KINNEY BLVD, VENICE, CA 90291(323) 683-5074 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Andrew Tantisukarom NPPES

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

ANDREW TANTISUKAROM (NPI 1407765837) is an individual massage therapist in Venice, California, licensed in California (82023) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1407765837
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameANDREW TANTISUKAROM
Location Address2805 ABBOT KINNEY BLVDVenice, CA 90291-6722
Mailing Address809 N Orlando AveWest Hollywood, CA 90069-5413 · (323) 683-5074
Phone(323) 683-5074
Sole ProprietorYes
Enumeration DateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
✔ NPI 1407765837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 82023
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2805 ABBOT KINNEY BLVD, Venice, CA 90291
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Andrew Tantisukarom's NPI number?

The NPI number for Andrew Tantisukarom is 1407765837. It was assigned to this individual provider in the NPPES registry on September 2, 2026.

Where is Andrew Tantisukarom located?

Andrew Tantisukarom practices at 2805 Abbot Kinney Blvd, Venice, CA 90291. The listed phone number is (323) 683-5074.

What is Andrew Tantisukarom's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Andrew Tantisukarom was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.