Kistiyaporn Keratisomphon, ACSW
NPI 1417668344 · Clinical Social Worker · Santa Ana, CA
Kistiyaporn Keratisomphon, ACSW is a Clinical Social Worker provider in Santa Ana, CA (NPI 1417668344).
Provider details
- NPI number
- 1417668344
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- ACSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- ASW111234 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-12-12
- Last updated
- 2023-10-30
- Certified
- 2023-10-30
Frequently asked questions
- What is Kistiyaporn Keratisomphon's NPI number?
- Kistiyaporn Keratisomphon's National Provider Identifier (NPI) is 1417668344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kistiyaporn Keratisomphon's specialty?
- Kistiyaporn Keratisomphon is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kistiyaporn Keratisomphon located?
- Kistiyaporn Keratisomphon's practice location on file with NPPES is 405 W 5th St, Santa Ana, CA 92701-4599.
- What is Kistiyaporn Keratisomphon's phone number?
- The practice phone number listed in the NPPES registry for Kistiyaporn Keratisomphon is (714) 834-3101.
- Is Kistiyaporn Keratisomphon's NPI active?
- Yes — Kistiyaporn Keratisomphon's NPI (1417668344) is active in the NPPES registry as of the last update on 2023-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.