DR. KERRY LOUIS CLISBY JR. D.C.
NPI 1881883155
Chiropractor in Long Beach, CA
About Dr. Kerry Louis Clisby Jr. D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KERRY LOUIS CLISBY JR. D.C. (NPI 1881883155) is an individual chiropractor in Long Beach, California, licensed in California (30596) and active in the NPI registry since October 2007. He is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kerry Louis Clisby Jr. D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kerry Clisby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Westminster, CA 92683
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LONG BEACH, CA 90802
LONG BEACH, CA 90802
LONG BEACH, CA 90802
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 Kerry Clisby's NPI number?
The NPI number for Kerry Clisby is 1881883155. It was assigned to this individual provider in the NPPES registry on October 23, 2007.
Where is Kerry Clisby located?
Kerry Clisby practices at 100 W Broadway Ste. 1400, Long Beach, CA 90802. The listed phone number is (562) 495-2121.
What is Kerry Clisby's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kerry Clisby enrolled in Medicare?
Yes. Kerry Clisby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kerry Clisby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Clisby reassigns Medicare benefits to 2 organizations: Superior Joint And Spine Medical Center Inc. (Westminster, CA) and Advanced Joint And Spine Medical Center Inc. (Orange, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerry Clisby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kerry Clisby was last updated on June 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Kerry Louis Clisby Jr., D.C. · NPI 1881883155
Chiropractor provider in Long Beach, California. Individual provider, active in the CMS NPPES registry since October 23, 2007.
## Identity
- **NPI:** 1881883155 (Entity type: Individual)
- **Enumerated:** October 23, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 30596 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 W BROADWAY, STE. 1400, Long Beach, CA 90802-4431
- **Phone:** (562) 495-2121 · **Fax:** (562) 495-3131
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Superior Joint And Spine Medical Center Inc. (NPI 1679093728, Westminster, CA); Advanced Joint And Spine Medical Center Inc. (NPI 1962930628, Orange, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** June 24, 2009
---
Source: [NPI Profile](https://npiprofile.com/npi/1881883155) · Data from the CMS NPPES public registry.