DR. CHERYL L KELLOGG (NPI# 1376561027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376561027 |
| Entity Type | Individual |
| Full Name | DR. CHERYL L KELLOGG |
| Other Name | DR. CHERYL L PATTERSON |
| Credential | M.D. |
| Practice Address |
30131 Town Center Dr Suite 204 Laguna Niguel CA 92677-2034 |
| Mailing Address |
30100 Town Center Dr Suite O #437 Laguna Niguel CA 92677-2064 |
| Practice Telephone | 9493421780 |
| Practice Fax Number | 9493421786 |
| Mailing Telephone | 9493421780 |
| Mailing Fax Number | 9493421786 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C050266 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE # | C050266 | 01 |
| CA | BLUE SHIELD | ZZZ47948Z | 01 |
| CA | MEDICARE GROUP NUMBER | W13226A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912196304 | Cheryl A Kellogg | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2007-10-22 |
| Street Address |
30131 TOWN CENTER DR SUITE 204 |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219595 | Angela Calton | Specialist | 30131 Town Center Dr, Suite 250, Laguna Niguel, CA 92677-2034 | 2005-07-18 |
| 1356701965 | Dr Susan Pazak Psychological Services | Community/Behavioral Health | 30131 Town Center Dr, Suite 280, Laguna Niguel, CA 92677-2034 | 2016-02-25 |
| 1558747816 | Brandan Althof | Dentist | 30131 Town Center Dr, Laguna Niguel, CA 92677-2034 | 2015-08-09 |
| 1073916441 | Stacy Lavino | Marriage & Family Therapist | 30131 Town Center Dr, Suite #292, Laguna Niguel, CA 92677-2034 | 2014-09-30 |
| 1366858615 | Pediatric Neurology of Orange County, PC | Clinic/Center | 30131 Town Center Dr, Suite 245, Laguna Niguel, CA 92677-2034 | 2014-07-08 |
| 1174949408 | Norman F. Huefner Dmd A Prof Corp | Dentist | 30131 Town Center Dr, 160, Laguna Niguel, CA 92677-2034 | 2014-03-11 |
| 1508292491 | Teresa Geldmacher | Marriage & Family Therapist | 30131 Town Center Dr, #292, Laguna Niguel, CA 92677-2034 | 2013-09-24 |
| 1326482225 | Andrew R. Mcintosh, M.d. Inc. | Technician, Other | 30131 Town Center Dr, Suite 195, Laguna Niguel, CA 92677-2034 | 2013-04-22 |
| 1174861108 | Leisure Care Home Care Agency, Inc | Custodial Care Facility | 30131 Town Center Dr, Suite 205, Laguna Niguel, CA 92677-2034 | 2013-01-25 |
| 1861764854 | Melissa Przeklasa Auth Md Professional Corporation | Psychiatry & Neurology | 30131 Town Center Dr, 195, Laguna Niguel, CA 92677-2034 | 2012-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689183105 | Colleen Marie Cherry | Specialist | 28282 Rancho Grande, Laguna Niguel, CA 92677-7424 | 2017-09-27 |
| 1720426265 | You and The Mat LLC | Specialist | 23811 Aliso Creek Rd, Suite 100, Laguna Niguel, CA 92677-3902 | 2013-06-06 |
| 1639308620 | Bijan Mashouf | Specialist | 11 Lancaste Ct, Laguna Niguel, CA 92677-6056 | 2009-07-10 |
| 1083840961 | Stuart T Anderson, Inc. | Specialist | 11 Windham Ln, Laguna Niguel, CA 92677-9372 | 2009-06-04 |
| 1902908858 | Tanya Y Evans | Specialist | 27020 Alicia Pkwy, Suite G, Laguna Niguel, CA 92677-3420 | 2006-09-02 |
| 1043219595 | Angela Calton | Specialist | 30131 Town Center Dr, Suite 250, Laguna Niguel, CA 92677-2034 | 2005-07-18 |
| 1245450428 | Premier Care, A Medical Corporation | Specialist | 30131 Town Center Dr, Suite 250, Laguna Niguel, CA 92677-2034 | 2007-04-27 |
| 1831255025 | Enid L Seal | Specialist | 27601 Forbes Rd, Suite 24, Laguna Niguel, CA 92677-1201 | 2006-12-29 |
| 1386668739 | Grace Physical Therapy, Inc. | Specialist | 31341 Niguel Rd Ste G, Laguna Niguel, CA 92677-4118 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
Please comment or provide details below to improve the information on DR. CHERYL L KELLOGG.
| 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.