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BEACHSIDE WELLNESS GROUP
NPI 1104144112
Chiropractor in Long Beach, CA

Active since May 14, 2010
100 W BROADWAY, STE. 1400, LONG BEACH, CA 90802(562) 495-2121(562) 495-3131 Get Directions Write a Review

NPPES record last updated: May 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beachside Wellness Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACHSIDE WELLNESS GROUP (NPI 1104144112) is a healthcare organization registered as a chiropractor in Long Beach, California and active in the NPI registry since May 2010. The organization lists Kerry Clisby, Doctor, as its authorized official.

NPPES Registry Identity

NPI1104144112
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCLISBY CHIROPRACTIC, INC
Location Address100 W BROADWAY, STE. 1400Long Beach, CA 90802-4431
Mailing Address100 W Broadway, Ste. 1400Long Beach, CA 90802-4431 · (562) 495-2121 · Fax (562) 495-3131
Phone(562) 495-2121
Fax(562) 495-3131
Organization SubpartNo
Authorized OfficialKerry ClisbyDoctor · (562) 495-2121
Enumeration DateMay 14, 2010
✔ NPI 1104144112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC-30596
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
100 W BROADWAY, Long Beach, CA 90802
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Other Names 1

Doing Business AsBeachside Wellness Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TARA ALEXIA REED PSYD
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5005
LONG BEACH, CA 90802
Los Angeles County (562) 284-0108
LAUREN MICHELLE PAOLI B.S.
Case Manager/Care Coordinator
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
LAURIE RAMEY
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
MS. RHONDA MICHELLE SCHULTZ
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
NATALI GARCIA ROBLES
Case Manager/Care Coordinator
100 W BROADWAY
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
MRS. NORMA SOLIMAN CASEM
Rehabilitation Practitioner
100 W BROADWAY
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
KERRI MARIE THOMAS
Licensed Vocational Nurse
100 W BROADWAY, SUITE 5005
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
MR. JOHN IVAN QUIMSON
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clisby Chiropractic, Inc's NPI number?

The NPI number for Clisby Chiropractic, Inc is 1104144112. It was assigned to this organization in the NPPES registry on May 14, 2010. The provider is doing business as Beachside Wellness Group.

Where is Clisby Chiropractic, Inc located?

Clisby Chiropractic, Inc is located at 100 W Broadway Ste. 1400, Long Beach, CA 90802. The listed phone number is (562) 495-2121.

What is Clisby Chiropractic, Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Clisby Chiropractic, Inc was last updated on May 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.