WILLIAM M KELLY MD, INC (NPI# 1558556829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558556829 |
| Entity Type | Organization |
| Organization Name | WILLIAM M KELLY MD, INC |
| Other Organization Name | HEALTH SCAN IMAGING |
| Practice Address |
41715 Winchester Rd Suite 101 Temecula CA 92590-4808 |
| Practice Telephone | 9513084451 |
| Practice Fax Number | 9515060992 |
| Mailing Telephone | 9513084451 |
| Mailing Fax Number | 9515060992 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Authorized Official Name | WILLIAM M KELLY (X RAY SUPERVISER OPERATOR) |
| Authorized Official Telephone | 9513084451 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
RHL125822 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Health Scan Imaging | Other Name - Individual/Organization |
| Street Address |
41715 WINCHESTER RD SUITE 101 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184672545 | Brian Robert Sharp | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2006-05-05 |
| 1598395709 | Dustin Grossheim | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2020-01-16 |
| 1609300250 | Nikole Churchill | Nurse Practitioner | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2017-04-19 |
| 1093267171 | Aliuddin Khaja, Md., Inc | Psychologist | 41715 Winchester Rd, Suite 104, Temecula, CA 92590-4808 | 2016-10-25 |
| 1326599192 | Mariah Brooke Horvath | Physician Assistant | 41715 Winchester Rd, Suite #101, Temecula, CA 92590-4808 | 2016-10-17 |
| 1922471192 | Krista Russo | Physician Assistant | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2015-11-09 |
| 1629447602 | Lindsey Adele Mcatee | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2015-09-19 |
| 1558743906 | Michelle Marie Robert | Nurse Practitioner | 41715 Winchester Rd, Ste 101, Temecula, CA 92590-4808 | 2015-06-22 |
| 1962828863 | Amanda Alviz | Nurse Practitioner | 41715 Winchester Rd, Suite 101, Temecula, CA 92590 | 2014-03-15 |
| 1477897684 | Douglas Ebin Wong | Physician Assistant | 41715 Winchester Rd, Suite 101, Temecula, CA 92590-4808 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831275213 | Unique Ultrasound, Inc. | Clinic/Center | 41593 Winchester Rd, Suite 122, Temecula, CA 92590-4860 | 2006-10-28 |
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| 1720625742 | F&m Radiology Medical Center Inc | Clinic/Center | 17779 Ventura Blvd # 100, Encino, CA 91316-3717 | 2019-12-09 |
| 1982240321 | United Care Foundation | Clinic/Center | 2233 Watt Ave Ste 120, Sacramento, CA 95825-0569 | 2019-11-20 |
| 1932744893 | Westcoast Radiology Associates Pllc | Clinic/Center | 4193 Flat Rock Dr Ste 200, Riverside, CA 92505-7113 | 2019-11-14 |
| 1518502087 | Ishraf Corporation | Clinic/Center | 5720 Stoneridge Mall Rd Ste 288, Pleasanton, CA 94588-2830 | 2019-11-08 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
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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.