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DR. KERRY LOUIS CLISBY JR. D.C.
NPI 1881883155
Chiropractor in Long Beach, CA

Active since October 23, 2007Accepts Medicare Assignment
100 W BROADWAY, STE. 1400, LONG BEACH, CA 90802(562) 495-2121(562) 495-3131 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1881883155
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KERRY LOUIS CLISBY JR.Credential: D.C.
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
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 23, 2007
Last NPPES UpdateJune 24, 2009
✔ NPI 1881883155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID749703304
PECOS Enrollment IDI20250325001964

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.

MRS. NORMA SOLIMAN CASEM
Rehabilitation Practitioner
100 W BROADWAY
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
MARTINS O. NWAEGE
Rehabilitation Practitioner
100 W BROADWAY
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
RICHARD IMMANUEL LARRY
Specialist
100 W BROADWAY
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
MONICA L DAVIS
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
DR. DAVID PILON PH.D.
Psychologist
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Los Angeles County (562) 285-1330
CLISBY CHIROPRACTIC, INC
Chiropractor
100 W BROADWAY, STE. 1400
LONG BEACH, CA 90802
Los Angeles County (562) 495-2121
LORAINE FERNANDEZ
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5010
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

Frequently Asked Questions

What is Kerry Clisby's NPI number?

The NPI number assigned to this healthcare provider is 1881883155, enumerated as an "individual" on October 23, 2007.

Where is the provider located?

The provider is located at 100 W BROADWAY STE. 1400 LONG BEACH, CA 90802 and the phone number is (562) 495-2121.

What is the provider's specialty?

Chiropractor with taxonomy code 111N00000X.