KELLY L ALEXANDER


Address: 1199 Bush St Ste 400, San Francisco, CA 94109-5975
Phone: 4153792890

KELLY L ALEXANDER (NPI# 1356377212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356377212
Entity Type Individual
Full Name KELLY L ALEXANDER
Credential MD
Practice Address 1199 Bush St Ste 400
San Francisco
CA 94109-5975
Mailing Address 3400 Data Dr
Attn: Credentialing/payer Enrollment
Rancho Cordova
CA 95670-7956
Practice Telephone 4153792890
Practice Fax Number 4153496025
Enumeration Date 2006-06-23
Last Update Date 2020-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery C162278 CA Allopathic & Osteopathic Physicians

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1346802931 Kelly Alexander Counselor 451 W . Chew Street, Allentown, PA 18102 2019-07-03
1386194975 Kelly Alexander Rehabilitation Practitioner 567 N 5th St # 153, Terre Haute, IN 47809-1903 2016-10-07
1043466071 Kelly Alexander Dentist 2931 State Road, Cuyahoga Falls, OH 44223 2008-08-11
1275547861 Kelly Alexander Physical Therapist 144 Evergreen Pkwy, Lebanon, MO 65536-7056 2006-07-28
1639666266 Kelly A Alexander Social Worker 3737 Lander Rd, Cleveland, OH 44124-5712 2018-04-19
1104277136 Kelly Prine Alexander Nurse Practitioner 969 Lakeland Dr, Jackson, MS 39216-4606 2016-06-30
1164844288 Kelly A Alexander Counselor 10001 Grand Ave, Franklin Park, IL 60131-2563 2014-01-08
1780026187 Kelly Michelle Alexander Physical Therapist 5725 Corporate Way, Suite 108, West Palm Beach, FL 33407-2007 2013-07-25
1598776924 Kelly Drew Alexander Jr. Dentist 104 E Washington St, Hollandale, MS 38748 2006-08-10

Office Location

Street Address 1199 BUSH ST STE 400
City SAN FRANCISCO
State CA
Zip Code 94109-5975

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205000734 Jagrati Mathur Internal Medicine 1199 Bush St Ste 400, San Francisco, CA 94109-5975 2008-04-16
1982716627 Philip F Nakashima Internal Medicine 1199 Bush St Ste 400, San Francisco, CA 94109-5975 2006-08-31
1225140742 Michael C Schrader Internal Medicine 1199 Bush St Ste 400, San Francisco, CA 94109-5975 2006-08-31
1508893421 Saman Kannangara Internal Medicine 1199 Bush St Ste 400, San Francisco, CA 94109-5975 2006-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477169738 Emmapreet Bal Social Worker 750 Post Street, San Francisco, CA 94109 2020-09-21
1801414669 Hegla Yakeline Fielding Registered Nurse Felton Institute, 1500 Franklin St, San Francisco, CA 94109 2020-07-08
1356991350 Rachel Sit Wong Technician 1280 Ellis St. Apt. 12, San Francisco, CA 94109 2019-09-12
1396392502 Laura Kathryn Strader Student in an Organized Health Care Education/Training Program Community Youth Center, 1038 Post Street, San Francisco, CA 94109 2019-08-22
1821650227 Anita Kathleen O'shea Community Health Worker 730 Polk St 4th Floor, San Francisco, CA 94109 2019-07-05
1275015638 Quenna G Lee Occupational Therapist 1948 California Street, San Francisco, CA 94109 2018-09-02
1659857340 Kaihan Zhong Marriage & Family Therapist 1038 Post Street Community Youth Center, San Francisco, CA 94109 2018-07-16
1144716044 Elaina Barulic Marriage & Family Therapist 2040 Gough St, San Francisco, CA 94109 2018-07-03
1447778048 Yltze Pamela Cubas-moody Dentist 2107 Vanness Ave, San Francisco, CA 94109 2017-09-03
1063939387 Ritu Sen Counselor 815 Hyde Street, Suite 100, San Francisco, CA 94109 2017-08-28
Find all providers in zip 94109

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497380638 Bay Area Medical and Surgical Group, Inc. Surgery 490 Post St Ste 530, San Francisco, CA 94102-1412 2020-03-09
1609380187 The Sternberg Clinic Inc A Professional Corporation Surgery 77 Van Ness Ave Apt 300, San Francisco, CA 94102-6042 2017-11-20
1073044715 Patricia Costacurta Conroy Surgery 513 Parnassus Ave, Ucsf - Department of Surgery, S-321, San Francisco, CA 94143-0470 2017-03-24
1457741571 Kiavash Koko Surgery 1560 3rd St Apt 307, San Francisco, CA 94158-2305 2015-01-27
1669810156 Theresa Wai Ling Chan Surgery 1825 4th St Fl 3, San Francisco, CA 94143-2350 2013-06-06
1932543030 Seiji Yamaguchi Surgery 505 Parnassus Ave # M-896, San Francisco, CA 94143-2204 2013-04-20
1760725790 Kelly Mahuron Surgery Ucsf Department of Surgery 513 Parnassus Ave, S-321, San Francisco, CA 94143-0470 2013-03-27
1285923037 Willieford Olatoye Oluremi Moses Surgery 513 Parnassus Ave., S-321 Ucsf Department of Surgery, San Francisco, CA 94143-0470 2011-04-01
1467771055 Carrie Thiessen Surgery 400 Parnassus Ave Department of Surgery, Ste. 701, San Francisco, CA 94143 2010-05-22
1831416387 Sarkis Christopher Derderian Surgery 1200 3rd Ave, Apt A, San Francisco, CA 94122-2740 2010-04-23
Find all providers in SAN FRANCISCO

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City SAN FRANCISCO
Zip Code 94109

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Dataset Information

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.

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