12310 Lower Azusa Rd,
NPI 1174813299ActiveOrganization· Case Management· Arcadia, CA
Case Management in Arcadia, California, registered in NPPES in April 2011. The authorized official on file is Kyle Fortson, Tcm Coordinator.
Overview
| NPI | 1174813299 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2011 |
| Last updated in NPPES | Apr 11, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Management Primary | 251B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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