WILLIAM M. KELLY M.D., INC. (NPI# 1437149267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437149267 |
| Entity Type | Organization |
| Organization Name | WILLIAM M. KELLY M.D., INC. |
| Other Organization Name | HEALTH SCAN IMAGING |
| Practice Address |
74000 Country Club Dr Suite E 1 Palm Desert CA 92260-2789 |
| Mailing Address |
44489 Town Center Way Ste. D Palm Desert CA 92260-2789 |
| Practice Telephone | 7606748800 |
| Practice Fax Number | 7606748646 |
| Mailing Telephone | 7607769777 |
| Mailing Fax Number | 7607764999 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2010-01-12 |
| Authorized Official Name | MS. MELONIE STORER (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Telephone | 9513022223 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAM M. KELLY M.D., INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A34125 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
A34125 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Health Scan Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306078225 | William M. Kelly M.d., Inc. | Radiology | 72980 Fred Waring Dr, Suite A, Palm Desert, CA 92260-2898 | 2009-08-11 |
| 1891969960 | William M. Kelly M.d., Inc. | Radiology | 31565 Rancho Puebla Rd, Suite 101, Temecula, CA 92592-4839 | 2008-04-18 |
| 1235203316 | William M. Kelly M.d., Inc. | Radiology | 8710 Monroe Court, Suite 100, Rancho Cucamonga, CA 91730-4883 | 2006-11-20 |
| 1922172550 | William M. Kelly M.d., Inc. | Radiology | 1080 N. Indian Canyon Dr., Suite 104, Palm Springs, CA 92262-4869 | 2006-11-17 |
| 1396816047 | William M. Kelly M.d., Inc. | Radiology | 29798 Haun Rd., Suite 103, Sun City, CA 92586-6541 | 2006-11-13 |
| 1922082767 | William M. Kelly M.d., Inc. | Radiology | 72980 Fred Waring Dr., Ste. A, Palm Desert, CA 92260-9339 | 2005-12-05 |
| 1295718161 | William M. Kelly M.d., Inc. | Radiology | 11360 Mountain View Ave, Suite C, Loma Linda, CA 92354-3861 | 2005-11-23 |
| 1700868338 | William M. Kelly M.d., Inc. | Radiology | 40700 California Oaks Rd, Ste 103, Murrieta, CA 92562 | 2005-11-18 |
| 1497069660 | William M. Kelly M.d., Inc. | Radiology | 425 Diamond Dr, Suite 103, Lake Elsinore, CA 92530-4495 | 2010-07-30 |
| Street Address |
74000 COUNTRY CLUB DR SUITE E 1 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260-2789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922534445 | Cutting Edge Orthopedics Inc | Orthopaedic Surgery | 74000 Country Club Dr, Suite G3, Palm Desert, CA 92260-1685 | 2017-05-03 |
| 1346653797 | Cutting Edge Orthopedics, Inc. | Orthopaedic Surgery | 74000 Country Club Dr, Ste G3, Palm Desert, CA 92260-1685 | 2014-06-03 |
| 1619238342 | Navid Nazemi | Chiropractor | 74000 Country Club Dr, Suite E4, Palm Desert, CA 92260-1685 | 2012-05-29 |
| 1437395357 | Celeste Lim Amaya Md Medical Corporation | Internal Medicine | 74000 Country Club Dr, Ste J-1, Palm Desert, CA 92260-1685 | 2008-12-23 |
| 1467631655 | Harvey R. Danciger | Podiatrist | 74000 Country Club Dr, Suite A-2, Palm Desert, CA 92260-1685 | 2007-10-24 |
| 1790718062 | Celeste L Amaya | Internal Medicine | 74000 Country Club Dr, Suite J1, Palm Desert, CA 92260-1685 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 2085D0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Neuroimaging |
| A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
| Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306078225 | William M. Kelly M.d., Inc. | Radiology | 72980 Fred Waring Dr, Suite A, Palm Desert, CA 92260-2898 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495363 | Faculty Physicians and Surgeons of Llusm | Radiology | 1850 N Riverside Ave Ste 160, Rialto, CA 92376-8056 | 2020-07-29 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1104249291 | Neurography Institute Global Consulting Inc | Radiology | 2716 Ocean Park Blvd Ste 3082, Santa Monica, CA 90405-5266 | 2014-01-27 |
| 1215164934 | Linemed Health Services Inc | Radiology | 2016 N Riverside Ave, Suite D, Rialto, CA 92377-4655 | 2009-06-20 |
| 1598916306 | Calvin Louis Rumbaugh | Radiology | 6445 Twinberry Circle, Avila Beach, CA 93424-0517 | 2008-10-10 |
| 1891969960 | William M. Kelly M.d., Inc. | Radiology | 31565 Rancho Puebla Rd, Suite 101, Temecula, CA 92592-4839 | 2008-04-18 |
| 1548473556 | Pacific Radiology, LLC | Radiology | 2209 Coffee Road, Suite M, Modesto, CA 95355 | 2007-05-07 |
| 1235203316 | William M. Kelly M.d., Inc. | Radiology | 8710 Monroe Court, Suite 100, Rancho Cucamonga, CA 91730-4883 | 2006-11-20 |
| 1922172550 | William M. Kelly M.d., Inc. | Radiology | 1080 N. Indian Canyon Dr., Suite 104, Palm Springs, CA 92262-4869 | 2006-11-17 |
| 1396816047 | William M. Kelly M.d., Inc. | Radiology | 29798 Haun Rd., Suite 103, Sun City, CA 92586-6541 | 2006-11-13 |
| Find all providers with the same taxonomy | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
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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.