KELLY MAH, M.D. (NPI# 1477654341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477654341 |
| Entity Type | Organization |
| Organization Name | KELLY MAH, M.D. |
| Other Organization Name | MANTECA OBSTETRICS AND GYNECOLOGY MEDICAL GROUP |
| Practice Address |
421 E Center St Manteca CA 95336-4718 |
| Practice Telephone | 2098237616 |
| Practice Fax Number | 2098234352 |
| Mailing Telephone | 2098237616 |
| Mailing Fax Number | 2098234352 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-09-20 |
| Authorized Official Name | KELLY MAH (PRESIDENT) |
| Authorized Official Telephone | 2098237616 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G065156 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE NUMBER | G065156 | 01 |
| CA | DEA NUMBER | BM 1793632 | 01 |
| CA | GR0045320 | 05 |
| Other Name | Type Code |
|---|---|
| Manteca Obstetrics and Gynecology Medical Group | Doing Business As Name - Organization |
| Street Address |
421 E CENTER ST |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053420489 | Kelly Mah | Obstetrics & Gynecology | 421 E Center St, Manteca, CA 95336-4718 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952491987 | George R Kunhardt | Obstetrics & Gynecology | 1191 E Yosemite Ave Ste C, Manteca, CA 95336-5071 | 2006-10-13 |
| 1053420489 | Kelly Mah | Obstetrics & Gynecology | 421 E Center St, Manteca, CA 95336-4718 | 2006-08-30 |
| 1942288873 | George C Scott | Obstetrics & Gynecology | 210 N Fremont St, Manteca, CA 95336-4725 | 2005-12-30 |
| 1447543160 | Gail R Joseph | Obstetrics & Gynecology | 1262 E North St, Manteca, CA 95336-4962 | 2011-05-27 |
| 1366516676 | Yu-yea M. Tzeng | Obstetrics & Gynecology | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-20 |
| 1770661589 | Jon G. Lee | Obstetrics & Gynecology | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1992819957 | Prayuk A. Waran | Obstetrics & Gynecology | 1262 E North St, Manteca, CA 95336 | 2006-08-18 |
| 1093748006 | Cynthia M Vanata | Obstetrics & Gynecology | 1144 Norman Dr, #104, Manteca, CA 95336-5925 | 2006-07-10 |
| 1831122316 | Athena Medical Center for Women, Inc | Obstetrics & Gynecology | 321 Cherry Ln, Manteca, CA 95337-4355 | 2006-07-08 |
| 1437113065 | Manteca Medical Group, Inc | Obstetrics & Gynecology | 1262 E North St, Manteca, CA 95336-4962 | 2006-04-12 |
| Find all providers in MANTECA | ||||
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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.