WILLIAM M. KELLY M.D., INC. (NPI# 1922172550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922172550 |
Entity Type | Organization |
Organization Name | WILLIAM M. KELLY M.D., INC. |
Other Organization Name | HEALTH SCAN IMAGING |
Practice Address |
1080 N. Indian Canyon Dr. Suite 104 Palm Springs CA 92262-4869 |
Mailing Address |
44489 Town Center Way Ste. D Palm Desert CA 92260-2789 |
Practice Telephone | 7603223036 |
Practice Fax Number | 7603223037 |
Mailing Telephone | 7607769777 |
Mailing Fax Number | 7607764999 |
Enumeration Date | 2006-11-17 |
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 | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
Allopathic & Osteopathic Physicians | ||
Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
A34125 | CA | Technologists, Technicians & Other Technical Service Providers |
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 |
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 |
1437149267 | William M. Kelly M.d., Inc. | Radiology | 74000 Country Club Dr, Suite E 1, Palm Desert, CA 92260-2789 | 2005-10-24 |
1497069660 | William M. Kelly M.d., Inc. | Radiology | 425 Diamond Dr, Suite 103, Lake Elsinore, CA 92530-4495 | 2010-07-30 |
Street Address |
1080 N. INDIAN CANYON DR. SUITE 104 |
City | PALM SPRINGS |
State | CA |
Zip Code | 92262-4869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
Find all providers in zip 92262 |
Taxonomy Code | 2471M1202X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Magnetic Resonance Imaging |
Definition to come... |
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1134508039 | Michael Larsen | Radiologic Technologist | 11019 Dove Tail Ter, San Diego, CA 92128-4019 | 2015-05-25 |
1619204997 | Platinum Medical Management, Inc. | Radiologic Technologist | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2009-11-07 |
1790918852 | Derrik Espinoza Asher | Radiologic Technologist | 6251 Adobe Cir, Irvine, CA 92617-5105 | 2009-08-24 |
1750534301 | La Mri Cener Inc | Radiologic Technologist | 1539 Beverly Blvd, Los Angeles, CA 90026-5704 | 2008-10-28 |
1073798237 | Martin Andrew Reina | Radiologic Technologist | 363 E Badillo St, Covina, CA 91723-2208 | 2008-01-07 |
1629292297 | Valley Radiologist Medical Associates | Radiologic Technologist | 35 Baywood Ave # 2, San Mateo, CA 94402-1516 | 2007-04-12 |
1023189560 | Advanced Radiology Healthcare, LLC | Radiologic Technologist | 3885 Cochran St Ste J, Pmb 347, Simi Valley, CA 93063-2367 | 2006-11-13 |
1780609644 | Open Advantage Mri IIi, Inc | Radiologic Technologist | 10 Pointe Dr, #110, Brea, CA 92821-3690 | 2006-07-13 |
1346265113 | Open Advantage Mri V | Radiologic Technologist | 3115 W March Ln, Suite 110, Stockton, CA 95219-2372 | 2006-07-13 |
1336164284 | Open Advantage Mri II | Radiologic Technologist | 600 N Tustin Ave, Suite 100, Santa Ana, CA 92705-3736 | 2006-07-13 |
Find all providers with the same taxonomy |
City | PALM SPRINGS |
Zip Code | 92262 |
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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.