OrganizationActive
12310 Lower Azusa Rd,
NPI 1174813299 · Case Management Agency · Arcadia, CA
12310 Lower Azusa Rd, is a Case Management Agency organization in Arcadia, CA (NPI 1174813299).
Provider details
- NPI number
- 1174813299
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kyle Fortson, Tcm Coordinator(626) 579-8593
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12310 Lower Azusa Ave
Arcadia, CA 91006
Phone: (626) 579-8593
Fax: (562) 433-1029
Street-level locationGet directions
Mailing address
12310 Lower Azusa Rd
Arcadia, CA 91006-5872
Registry dates
- Enumerated
- 2011-04-11
- Last updated
- 2011-04-11
Frequently asked questions
- What is 12310 Lower Azusa Rd,'s NPI number?
- 12310 Lower Azusa Rd,'s National Provider Identifier (NPI) is 1174813299, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 12310 Lower Azusa Rd,?
- 12310 Lower Azusa Rd, is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is 12310 Lower Azusa Rd, located?
- 12310 Lower Azusa Rd,'s practice location on file with NPPES is 12310 Lower Azusa Ave, Arcadia, CA 91006.
- What is 12310 Lower Azusa Rd,'s phone number?
- The practice phone number listed in the NPPES registry for 12310 Lower Azusa Rd, is (626) 579-8593.
- Who is the authorized official for 12310 Lower Azusa Rd,?
- The authorized official listed on 12310 Lower Azusa Rd,'s NPPES record is Kyle Fortson, Tcm Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 12310 Lower Azusa Rd,'s NPI active?
- Yes — 12310 Lower Azusa Rd,'s NPI (1174813299) is active in the NPPES registry as of the last update on 2011-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.