Kristyn Keiko Nishimoto, is a
Social Worker - Clinical based in Rancho Cucamonga, California. Kristyn Keiko Nishimoto is licensed to practice in California (license number 92499) and her current practice location is
9631 Business Center Drive, Bldg. 14, Ste. D, Rancho Cucamonga, California. She can be reached at her office (for appointments etc.) via phone at
(909) 948-5747.
NPI number for Kristyn Keiko Nishimoto is 1902171739 and her current mailing address is 9645 Arrow Route, Bldg. 5, Ste. A, Rancho Cucamonga, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902171739.
Healthcare Provider's Profile
| Full Name | Kristyn Keiko Nishimoto |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 9631 Business Center Drive, Rancho Cucamonga, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902171739
- Provider Enumeration Date: 03/13/2012
- Last Update Date: 02/10/2022
Medical Identifiers
Medical identifiers for Kristyn Keiko Nishimoto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902171739 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 92499 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristyn Keiko Nishimoto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristyn Keiko Nishimoto,
9645 Arrow Route, Bldg. 5, Ste. A,
Rancho Cucamonga, CA 91730
Ph: (909) 948-9747 | Kristyn Keiko Nishimoto,
9631 Business Center Drive, Bldg. 14, Ste. D,
Rancho Cucamonga, CA 91730
Ph: (909) 948-5747 |
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