KELLY AHMED M.D., INC. (NPI# 1427484658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427484658 |
| Entity Type | Organization |
| Organization Name | KELLY AHMED M.D., INC. |
| Practice Address |
14285 Amargosa Rd Suite 100 Victorville CA 92392-9707 |
| Practice Telephone | 7609557095 |
| Practice Fax Number | 7609511076 |
| Mailing Telephone | 7609557095 |
| Mailing Fax Number | 7609511076 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| Authorized Official Name | DR. KELLY JEAN AHMED (MEDICAL DOCTOR/OWNER) |
| Authorized Official Telephone | 7609557095 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A51407 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902277940 | Kelly Ahmed M.d., Inc. | Family Medicine | 14285 Amargosa Rd, Victorville, CA 92392-9707 | 2015-10-16 |
| Street Address |
14285 AMARGOSA RD SUITE 100 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659303998 | Kelly Ahmed | Family Medicine | 14285 Amargosa Rd, Victorville, CA 92392-9707 | 2006-07-07 |
| 1346776515 | Melanie Mcdonald | Nurse Practitioner | 14285 Amargosa Rd, Victorville, CA 92392-9707 | 2017-05-10 |
| 1669836185 | Christine Sloat | Nurse Practitioner | 14285 Amargosa Rd, Victorville, CA 92392-9707 | 2016-04-11 |
| 1902277940 | Kelly Ahmed M.d., Inc. | Family Medicine | 14285 Amargosa Rd, Victorville, CA 92392-9707 | 2015-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588157416 | Juvilusan S. Salazar, M.d., Inc. | Clinic/Center | 12760 Hesperia Rd Ste C, Victorville, CA 92395-8305 | 2018-06-14 |
| 1508305574 | William A. Jacobson, M.d. | Clinic/Center | 15203 11th St Ste D, Victorville, CA 92395-3737 | 2017-02-23 |
| 1477804235 | Clinica Medica Mi Pueblo, Medical Clinic, Inc | Clinic/Center | 14829 Seventh St Ste D, Victorville, CA 92395-4009 | 2012-09-19 |
| 1215066717 | Joseph M. Ho M.d., Inc. | Clinic/Center | 15201 Eleventh St, Suite 100, Victorville, CA 92395-3735 | 2007-03-02 |
| 1932186913 | Loida V. Guevarra, M.d., Inc. | Clinic/Center | 12760 Hesperia Rd, Suite A, Victorville, CA 92395-5806 | 2005-12-29 |
| 1588016596 | Akhil Sharma Md | Clinic/Center | 17259 Jasmine St Ste A, Victorville, CA 92395-7787 | 2016-07-01 |
| 1871943035 | Bear Valley Primary Care Inc | Clinic/Center | 12186 Hesperia Rd, Victorville, CA 92395-5822 | 2016-06-20 |
| 1740532282 | Kong D Wong Md Inc | Clinic/Center | 15203 11th St, Suite B, Victorville, CA 92395-3737 | 2012-10-08 |
| 1780749051 | Naco Medical Group | Clinic/Center | 15203 11th St, Suite E, Victorville, CA 92395-3737 | 2006-12-27 |
| 1922032986 | Marcelino S Calimlim Jr. | Clinic/Center | 15203 11th St, Suite C, Victorville, CA 92395-3737 | 2006-07-10 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92392 |
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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.