WILLIAM M. KELLY M.D., INC. (NPI# 1235203316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235203316 |
Entity Type | Organization |
Organization Name | WILLIAM M. KELLY M.D., INC. |
Other Organization Name | HEALTH SCAN IMAGING |
Practice Address |
8710 Monroe Court Suite 100 Rancho Cucamonga CA 91730-4883 |
Mailing Address |
44489 Town Center Way Ste. D Palm Desert CA 92260-2789 |
Practice Telephone | 9095816480 |
Practice Fax Number | 9095816481 |
Mailing Telephone | 7607769777 |
Mailing Fax Number | 7607764999 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2010-01-12 |
Authorized Official Name | MS. MELONIE STORER (CREDENTIALING ADMINISTRATOR) |
Authorized Official Telephone | 9513022223 |
Is Organization Subpart | Y |
Parent Organization Name | WILLIAM M. KELLY M.D., INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
Allopathic & Osteopathic Physicians | ||
Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
A34125 | CA | Technologists, Technicians & Other Technical Service Providers |
Other Name | Type Code |
---|---|
HEALTH SCAN IMAGING | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306078225 | William M. Kelly M.d., Inc. | Radiology | 72980 Fred Waring Dr, Suite A, Palm Desert, CA 92260-2898 | 2009-08-11 |
1891969960 | William M. Kelly M.d., Inc. | Radiology | 31565 Rancho Puebla Rd, Suite 101, Temecula, CA 92592-4839 | 2008-04-18 |
1922172550 | William M. Kelly M.d., Inc. | Radiology | 1080 N. Indian Canyon Dr., Suite 104, Palm Springs, CA 92262-4869 | 2006-11-17 |
1396816047 | William M. Kelly M.d., Inc. | Radiology | 29798 Haun Rd., Suite 103, Sun City, CA 92586-6541 | 2006-11-13 |
1922082767 | William M. Kelly M.d., Inc. | Radiology | 72980 Fred Waring Dr., Ste. A, Palm Desert, CA 92260-9339 | 2005-12-05 |
1295718161 | William M. Kelly M.d., Inc. | Radiology | 11360 Mountain View Ave, Suite C, Loma Linda, CA 92354-3861 | 2005-11-23 |
1700868338 | William M. Kelly M.d., Inc. | Radiology | 40700 California Oaks Rd, Ste 103, Murrieta, CA 92562 | 2005-11-18 |
1437149267 | William M. Kelly M.d., Inc. | Radiology | 74000 Country Club Dr, Suite E 1, Palm Desert, CA 92260-2789 | 2005-10-24 |
1497069660 | William M. Kelly M.d., Inc. | Radiology | 425 Diamond Dr, Suite 103, Lake Elsinore, CA 92530-4495 | 2010-07-30 |
Street Address |
8710 MONROE COURT SUITE 100 |
City | RANCHO CUCAMONGA |
State | CA |
Zip Code | 91730-4883 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
Find all providers in zip 91730 |
Taxonomy Code | 2471M1202X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Magnetic Resonance Imaging |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134508039 | Michael Larsen | Radiologic Technologist | 11019 Dove Tail Ter, San Diego, CA 92128-4019 | 2015-05-25 |
1619204997 | Platinum Medical Management, Inc. | Radiologic Technologist | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2009-11-07 |
1790918852 | Derrik Espinoza Asher | Radiologic Technologist | 6251 Adobe Cir, Irvine, CA 92617-5105 | 2009-08-24 |
1750534301 | La Mri Cener Inc | Radiologic Technologist | 1539 Beverly Blvd, Los Angeles, CA 90026-5704 | 2008-10-28 |
1073798237 | Martin Andrew Reina | Radiologic Technologist | 363 E Badillo St, Covina, CA 91723-2208 | 2008-01-07 |
1629292297 | Valley Radiologist Medical Associates | Radiologic Technologist | 35 Baywood Ave # 2, San Mateo, CA 94402-1516 | 2007-04-12 |
1023189560 | Advanced Radiology Healthcare, LLC | Radiologic Technologist | 3885 Cochran St Ste J, Pmb 347, Simi Valley, CA 93063-2367 | 2006-11-13 |
1780609644 | Open Advantage Mri IIi, Inc | Radiologic Technologist | 10 Pointe Dr, #110, Brea, CA 92821-3690 | 2006-07-13 |
1346265113 | Open Advantage Mri V | Radiologic Technologist | 3115 W March Ln, Suite 110, Stockton, CA 95219-2372 | 2006-07-13 |
1336164284 | Open Advantage Mri II | Radiologic Technologist | 600 N Tustin Ave, Suite 100, Santa Ana, CA 92705-3736 | 2006-07-13 |
Find all providers with the same taxonomy |
City | RANCHO CUCAMONGA |
Zip Code | 91730 |
Please comment or provide details below to improve the information on WILLIAM M. KELLY M.D., INC..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.