Christian Koeu

Primary specialty

Social WorkerTaxonomy code 104100000X

License

123313 Issued in CA

Practice address

600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148

Phone

(909) 522-4656

NPI assigned

Jan 29, 2025

Last updated

Feb 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Victor Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1780957282
  NPD (past)
• Victor Community Support Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • San Bernardino, CA
  • NPI 1982756714
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1043023526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11278 SAN MATEO DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543226",
            "telephone_number": "951-442-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ARROWHEAD AVE STE 300",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011148",
            "telephone_number": "909-522-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEU",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "123313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knotts Family & Parenting Institute
• Knotts Family Agency
• Knotts Group Home
• Gwendolyn K Knotts
• Jessa Marie Koch, PHARMD
• Kohut Psychiatric Medical Group Inc
• Koinonia Foster Homes, Inc. (Koinonia Family Services)
• Nikhitha Konda, M.D.
• Kooley Transportation
• Sakorn Koonopakarn, M.D.

• Social Worker in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.