Kelly Inguito

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3939 Atlantic Ave Ste 102
Long Beach, CA 90807-3535

Phone

(562) 512-5863

NPI assigned

Sep 1, 2021

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)

Not enrolled

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1730857939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 BEACH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031606",
            "telephone_number": "562-376-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073535",
            "telephone_number": "562-512-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGUITO",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Industry Qualitative Kare Group
• Gladdiss Infante
• David Ingalsbe
• Justin R Ingles, RADT1
• John E. Ingram, M.D.
• Valeria Iniesta-Guzman
• Clara Iniguez, MSW
• Elizabeth Iniguez, LCSW
• Janelle Iniguez
• Innovative Wellness Consulting

• Community Health Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.