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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. REBECCA CHIVATAKARN NP
NPI 1982203097
Nurse Practitioner - Family in La Jolla, CA

Active since October 20, 2020
6505 LA JOLLA BLVD STE 4, LA JOLLA, CA 92037(619) 500-6262 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2026, Dec 3, 2024, Oct 5, 2023 and 2 more (5 updates tracked since 2020).

About Ms. Rebecca Chivatakarn Np NPPES

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

MS. REBECCA CHIVATAKARN NP (NPI 1982203097) is an individual family provider in La Jolla, California, licensed in California (95015597) and active in the NPI registry since October 2020. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1982203097
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. REBECCA CHIVATAKARNCredential: NP
Location Address6505 LA JOLLA BLVD STE 4La Jolla, CA 92037
Mailing Address6505 La Jolla Blvd Ste 4La Jolla, CA 92037-6016 · (619) 500-6262
Phone(619) 500-6262
Sole ProprietorNo
Enumeration DateOctober 20, 2020
Last NPPES UpdateJuly 17, 20265 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1982203097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95015597
6505 LA JOLLA BLVD STE 4, La Jolla, CA 92037
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Secondary Practice Location 1

Location 11075 Camino Del Rio SSan Diego, CA 92108-3538 · Phone (619) 881-4500

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 Rebecca Chivatakarn's NPI number?

The NPI number for Rebecca Chivatakarn is 1982203097. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Where is Rebecca Chivatakarn located?

Rebecca Chivatakarn practices at 6505 La Jolla Blvd Ste 4, La Jolla, CA 92037. The listed phone number is (619) 500-6262.

What is Rebecca Chivatakarn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rebecca Chivatakarn was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.