Chrysanthia Kirby

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

253889 Issued in CA

Practice address

1430 E Cooley Dr Ste 115
Colton, CA 92324-3936

Phone

(909) 533-4889

NPI assigned

Dec 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1376964478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2161",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924062161",
            "telephone_number": "909-806-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E COOLEY DR STE 115",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243936",
            "telephone_number": "909-533-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "CHRYSANTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "253889",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN268792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yongmin Kim, RPH
• Allison Mayumi Kimbell, MD
• Emmelynn Rose King
• Kamilah King
• Tolu King, RN
• Sean Campbell Kirk
• Francis Kisenha
• Linda Kit, O.D.
• Beverly N. Kiyan, CCC-A
• Dorene Pasillas Kloby

• Clinical Social Worker in Colton, CA
• Providers in Colton, 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 Aug 27, 2024; 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.