MR. KYLE BRUCE FORTSON
NPI 1659678167
Case Manager/Care Coordinator in Arcadia, CA

Q: What is Kyle Fortson's NPI number?

The NPI number for Kyle Fortson is 1659678167. It was assigned to this individual provider in the NPPES registry on February 17, 2011.

Q: What is Kyle Fortson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Fortson was last updated on April 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 17, 2011

12310 LOWER AZUSA RD, ARCADIA, CA 91006(626) 579-8506(626) 433-1029 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Kyle Bruce Fortson NPPES

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

MR. KYLE BRUCE FORTSON (NPI 1659678167) is an individual case manager/care coordinator provider in Arcadia, California and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1659678167

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. KYLE BRUCE FORTSON

Location Address12310 LOWER AZUSA RDArcadia, CA 91006-5872

Mailing Address12310 Lower Azusa RdArcadia, CA 91006-5872 · (626) 579-8506 · Fax (626) 433-1029

Phone(626) 579-8506

Fax(626) 433-1029

Sole ProprietorYes

Enumeration DateFebruary 17, 2011

Last NPPES UpdateApril 8, 2011

✔ NPI 1659678167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

12310 LOWER AZUSA RD, Arcadia, CA 91006

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Other Providers at the Same Location NPPES 14

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

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