KELLI MARIE ROSE


Address: 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4635
Phone: 8055432744

KELLI MARIE ROSE (NPI# 1407028798) 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) 1407028798
Entity Type Individual
Full Name KELLI MARIE ROSE
Other Name KELLI MARIE PELLMANN
Credential M.D.
Practice Address 1551 Bishop St
Suite 520
San Luis Obispo
CA 93401-4635
Mailing Address Po Box 603725
Charlotte
NC 28260-3725
Practice Telephone 8055432744
Practice Fax Number 8055430539
Mailing Telephone 8285752625
Mailing Fax Number 8283502174
Enumeration Date 2008-03-27
Last Update Date 2020-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology A134727 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE PTAN CB235871 01

Office Location

Street Address 1551 BISHOP ST
SUITE 520
City SAN LUIS OBISPO
State CA
Zip Code 93401-4635

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801897012 Mick Scott Meiselman Internal Medicine 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 2005-08-10
1285186106 Mick S. Meiselman, M.d., Professional Corporation Internal Medicine 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 2016-10-26
1295110674 Balance Treatment Slo, Inc Clinic/Center 1551 Bishop St, Ste 130a, San Luis Obispo, CA 93401-4635 2015-07-27
1295148492 Sarah Van Camp Pediatrics 1551 Bishop St, San Luis Obispo, CA 93401-4635 2014-06-04
1629321849 Karen Ann Fong Md Pediatrics 1551 Bishop St, Suite 310, San Luis Obispo, CA 93401-4635 2012-10-25
1356693683 Michael S Mcconnell Registered Nurse 1551 Bishop St, A160, San Luis Obispo, CA 93401-4635 2012-10-10
1396025094 Kelsey Ann Kehoe Marriage & Family Therapist 1551 Bishop St, Suite 510- E, San Luis Obispo, CA 93401-4635 2011-08-25
1992002182 Allergy Partners of California, Inc. Allergy & Immunology 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4635 2011-02-24
1962716316 Julie Jensen Kean Advanced Practice Midwife 1551 Bishop St, C310, San Luis Obispo, CA 93401-4635 2010-07-27
1154576239 Brandon James Slade Podiatrist 1551 Bishop St, San Luis Obispo, CA 93401-4635 2008-11-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497228399 Barbara Jean Morrow Dental Hygienist 2191 Johnson Avenue, San Luis Obispo, CA 93401 2019-01-03
1104307743 Griffith Jennings Counselor 1225 Kendal Rd, San Luis Obispo, CA 93401 2018-08-22
1124518808 Joy L Delaluna Licensed Psychiatric Technician 692 Evens Rd, San Luis Obispo, CA 93401 2018-05-17
1982192084 Sierra Mental Wellness Group Community/Behavioral Health 2180 B Johnson Avenue, San Luis Obispo, CA 93401 2018-04-25
1326554403 Veronica Chanel Laguna Case Manager/Care Coordinator 1065 Kansas Ave., San Luis Obispo, CA 93401 2017-12-27
1043739782 Janette Lynn Branca Case Manager/Care Coordinator 285 South Street, Suit J, San Louis Obispo, CA 93401 2017-09-13
1588194104 Adv Vision LLC Optometrist 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 2017-06-15
1508395880 Samantha Clay Counselor 1255 Kendall Road, San Luis Obispo, CA 93401 2017-06-08
1659804771 Sara Anne Powers Counselor 697 Higuera Street D, San Luis Obispo, CA 93401 2017-04-05
1508306010 Russell Piazza Pharmacist 873 Ricardo Court, San Luis Obispo, CA 93401 2017-03-02
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639106727 Arthur Corwin Mclean Allergy & Immunology 1551 Bishop St Ste 520, San Luis Obispo, CA 93401-4665 2006-06-26
1992002182 Allergy Partners of California, Inc. Allergy & Immunology 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4635 2011-02-24
1710955976 Robert J Holzhauer Allergy & Immunology 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4635 2006-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215558341 Los Angeles Food Allergy Institute, Inc. Allergy & Immunology 800 S Central Ave Ste 303, Glendale, CA 91204-4388 2020-04-29
1518587815 Aire Medical of Glendale, Inc. Allergy & Immunology 1808 Verdugo Blvd Ste 116, Glendale, CA 91208-1455 2020-04-16
1598315467 Dean T. Chiang, M.d. Inc Allergy & Immunology 3440 Lomita Blvd Ste 228, Torrance, CA 90505-4870 2019-09-12
1316416118 Pediatric Specialty Partners Inc. Allergy & Immunology 8929 University Center Ln Ste 208, San Diego, CA 92122-1054 2018-11-21
1083133649 Allergy Asthma Clinic Burlingame, Incorporated Allergy & Immunology 1828 El Camino Real Ste 703, Burlingame, CA 94010-3122 2017-09-14
1609397421 Utkucan Acar Allergy & Immunology 10833 Le Conte Ave Rm 12-311, Los Angeles, CA 90095-3075 2017-06-30
1992247134 Macey Dennis Allergy & Immunology 549 Southgate Rd, Sacramento, CA 95815-3714 2016-11-04
1093166795 Terrie Susie Ahn Allergy & Immunology 10833 Le Conte Ave # 12-311, Los Angeles, CA 90095-3075 2016-06-24
1700247897 Marie A. Di Pasquale Allergy & Immunology 705 Lincoln Avenue, Palo Alto, CA 94301 2016-03-16
1730559600 Benjamin Kramer Allergy & Immunology 750 Van Ness Ave, Ph1, San Francisco, CA 94102-6321 2015-10-04
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Competitor

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City SAN LUIS OBISPO
Zip Code 93401

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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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