PANICHA KITTIPHA
NPI 1801338157
Nurse Practitioner - Acute Care in Loma Linda, CA
About Panicha Kittipha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PANICHA KITTIPHA (NPI 1801338157) is an individual acute care provider in Loma Linda, California, licensed in California (95005491) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Panicha Kittipha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Panicha Kittipha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loma Linda, CA 92350
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Panicha Kittipha's NPI number?
The NPI number for Panicha Kittipha is 1801338157. It was assigned to this individual provider in the NPPES registry on November 16, 2016.
Where is Panicha Kittipha located?
Panicha Kittipha practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4475.
What is Panicha Kittipha's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Panicha Kittipha enrolled in Medicare?
Yes. Panicha Kittipha is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Panicha Kittipha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Panicha Kittipha reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Panicha Kittipha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Panicha Kittipha was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Panicha Kittipha · NPI 1801338157
Acute Care physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since November 16, 2016.
## Identity
- **NPI:** 1801338157 (Entity type: Individual)
- **Enumerated:** November 16, 2016
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95005491 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4475
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Faculty Physicians And Surgeons Of Llusm (NPI 1477503407, Loma Linda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1801338157) · Data from the CMS NPPES public registry.