PARDIS A KELLY DPM INC (NPI# 1912064171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912064171 |
| Entity Type | Organization |
| Organization Name | PARDIS A KELLY DPM INC |
| Practice Address |
1100 Laurel St Suite E San Carlos CA 94070-5000 |
| Mailing Address |
1100 Laurel St Suite E San Carlos CA 94070 |
| Practice Telephone | 6505954148 |
| Practice Fax Number | 6505953013 |
| Mailing Telephone | 6505954148 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2009-01-27 |
| Authorized Official Name | DR. PARDIS A KELLY (PRESIDENT) |
| Authorized Official Telephone | 6505954148 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1100 LAUREL ST SUITE E |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487684189 | Pardis A Kelly | Podiatrist | 1100 Laurel St, Suite E, San Carlos, CA 94070 | 2006-07-05 |
| 1104286368 | Dr. Scott Nissenbaum Chiropractic LLC | Chiropractor | 1100 Laurel St, Suite B, San Carlos, CA 94070-5000 | 2016-03-02 |
| 1700285525 | Gary Lau Dds Inc | Dentist | 1100 Laurel St, Suite A, San Carlos, CA 94070-5000 | 2014-08-18 |
| 1467771642 | Gary Lau | Dentist | 1100 Laurel St, Suite A, San Carlos, CA 94070-5000 | 2010-05-27 |
| 1942324801 | David Young | Dentist | 1100 Laurel St, Suite A, San Carlos, CA 94070-5000 | 2007-03-18 |
| 1558459701 | Sherna Madan, Md, Inc. | Clinic/Center | 1100 Laurel St, Suite B, San Carlos, CA 94070-5000 | 2006-10-11 |
| 1548362270 | Suzanne G Dey | Internal Medicine | 1100 Laurel St, Suite D, San Carlos, CA 94070-5000 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962937847 | Janelle Renee Maravelias | Podiatrist | 1100 Laurel St Ste E, San Carlos, CA 94070-5000 | 2017-04-27 |
| 1487684189 | Pardis A Kelly | Podiatrist | 1100 Laurel St, Suite E, San Carlos, CA 94070 | 2006-07-05 |
| 1235736919 | Alexander Reyzelman, Dpm, Inc. | Podiatrist | 1100 Laurel St Ste E, San Carlos, CA 94070-5000 | 2020-10-06 |
| 1083706253 | Brad Naylor | Podiatrist | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-09-28 |
| 1336230127 | Curtis D. Leviant | Podiatrist | 961 Laurel St, Suite 100, San Carlos, CA 94070-3949 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
Please comment or provide details below to improve the information on PARDIS A KELLY DPM INC.
| 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.