Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

12310 Lower Azusa Rd,

Case Management Agency in Arcadia, CA · enumerated 2011 · authorized official Kyle Fortson, Tcm Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174813299

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Registry record

Entity type Organization (Type 2)

Legal business name 12310 Lower Azusa Rd,

Practice address 12310 Lower Azusa Ave, Arcadia, CA, 91006

Phone (626) 579-8593

Fax (562) 433-1029

Enumeration date Apr 11, 2011

Last updated in NPPES Apr 11, 2011

Taxonomy & classification

251B00000X Case Management Agency Agencies Primary

Authorized official

Name Kyle Fortson

Title Tcm Coordinator

Phone (626) 579-8593

Other identifiers

Identifier	Type	State	Issuer
171M00000X	Other	CA	CASE MANAGER/CARE COORDINATOR

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-04-11. Verify at npiregistry.cms.hhs.gov.

Where is 12310 Lower Azusa Rd, located?

The practice location on file with NPPES is in Arcadia, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-11.