Kimberly M Holton

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KIMBERLY M HOLTON

Practice address

10630 Town Center Dr Ste 111
Rancho Cucamonga, CA 91730-6888

Phone

(909) 277-3212

NPI assigned

Jul 21, 2023

Organization subpart

No

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

Authorized official

Name

Kimberly HoltonNPI 1174057111

Title

Owner

Phone

(951) 465-5366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly M Holton

  • Clinical Social Worker
  • Rancho Cucamonga, CA
  • NPI 1174057111
  Medicare reassignment NPD Authorized official
• Julia Nicole Seiker, LCSW

  • Clinical Social Worker
  • Colton, CA
  • NPI 1649393067
  NPD (past)

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1306526538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 REDHILL NORTH DR",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 TOWN CENTER DR STE 111",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306888",
            "telephone_number": "909-277-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M HOLTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-465-5366"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Juho Kim
• Roy Kyung-Won Kim, M.D.
• Sooyeol Kim
• Sungjun Kim, DDS
• Lucy Nyambura Kimani, LVN
• Adam Kimbrell
• Kiese-Nzingha Citlatli Kimbwala
• Kristen A King
• McKenzie King, RBT
• Richard Guynn King

• Clinical Social Worker in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.