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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | A134727 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE PTAN | CB235871 | 01 |
Street Address |
1551 BISHOP ST SUITE 520 |
City | SAN LUIS OBISPO |
State | CA |
Zip Code | 93401-4635 |
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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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 |
Find all providers in zip 93401 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
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. |
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 |
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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City | SAN LUIS OBISPO |
Zip Code | 93401 |
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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.