Kristyn Gina Sutton

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 73240 Issued in CA

Practice address

1126 N Grand Ave
St D
Covina, CA 91724-1551

Phone

(626) 967-1667

NPI assigned

Jul 20, 2010

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1316250228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24910 WASHINGTON AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629283",
            "telephone_number": "626-538-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N GRAND AVE",
            "address_2": "ST D",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241551",
            "telephone_number": "626-967-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "KRISTYN",
        "middle_name": "GINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 73240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Health Hospice and Palliative Care, Inc.
• Sure Care Health Care Services
• Kavita Surti, M.D.
• Laxmi Acharya Suthar
• Rio Sutikno-Ong, MD
• Julienne Buhoro Swaka
• Tjerra Swayer
• Madison M Sweeney
• Sylvia Salem DDS,Inc.
• Eugene Edward Symaco, M.D.

• Clinical Social Worker in Covina, CA
• Providers in Covina, 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 Feb 26, 2020; 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.