Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Khwanthida Soonthornpong, NP

Individual provider Registered Nurse · NPI 1053054361

Khwanthida Soonthornpong, NP is a Registered Nurse in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

9388 Lightwave Ave
San Diego, CA 92123-1426
Phone: (858) 541-7710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 N Flower St, Santa Ana, CA 92703-2361 — (714) 647-4666

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95032334 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95235554 (CA)

Record details

NPI number1053054361
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 14, 2022
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

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