KRISTYN KEIKO NISHIMOTO
NPI 1902171739
Social Worker - Clinical in Rancho Cucamonga, CA

Active since March 13, 2012
9645 ARROW ROUTE, BLDG. 5, STE. A, RANCHO CUCAMONGA, CA 91730(909) 948-5747 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 25, 2025, Feb 10, 2022, Oct 17, 2019 and 1 more (4 updates tracked since 2018).

About Kristyn Keiko Nishimoto NPPES

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

KRISTYN KEIKO NISHIMOTO (NPI 1902171739) is an individual clinical provider in Rancho Cucamonga, California, licensed in California (92499) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1902171739
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTYN KEIKO NISHIMOTO
Location Address9645 ARROW ROUTE, BLDG. 5, STE. ARancho Cucamonga, CA 91730
Mailing Address9645 Arrow Route, Bldg. 5, Ste. ARancho Cucamonga, CA 91730 · (909) 948-9747
Sole ProprietorNo
Enumeration DateMarch 13, 2012
Last NPPES UpdateJune 25, 20254 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1902171739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 92499
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
9645 ARROW ROUTE, Rancho Cucamonga, CA 91730

Other Providers at the Same Location NPPES 4

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

Peer Specialist
9645 ARROW ROUTE, BUILDING 5 SUITE A
RANCHO CUCAMONGA, CA 91730
Social Worker
9645 ARROW ROUTE, BUILDING 5, SUITE A
RANCHO CUCAMONGA, CA 91730
Rehabilitation Practitioner
9645 ARROW ROUTE, BLDG 5 SUITE A
RANCHO CUCAMONGA, CA 91730
Foster Care Agency
9645 ARROW ROUTE, BLDG. 5, STE. A
RANCHO CUCAMONGA, CA 91730

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 Kristyn Nishimoto's NPI number?

The NPI number for Kristyn Nishimoto is 1902171739. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Where is Kristyn Nishimoto located?

Kristyn Nishimoto practices at 9645 Arrow Route Bldg. 5, Ste. A, Rancho Cucamonga, CA 91730. The listed phone number is (909) 948-5747.

What is Kristyn Nishimoto's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kristyn Nishimoto was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.