WILLIAM M. KELLY M.D., INC.


Address: 1080 N. Indian Canyon Dr., Suite 104, Palm Springs, CA 92262-4869
Phone: 7603223036

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).

Provider Overview

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.

Taxonomy

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 Provider/Organization Names

Other Name Type Code
HEALTH SCAN IMAGING Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1080 N. INDIAN CANYON DR.
SUITE 104
City PALM SPRINGS
State CA
Zip Code 92262-4869

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2471M1202X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Magnetic Resonance Imaging

Taxonomy Definition

Definition to come...

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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
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Competitor

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City PALM SPRINGS
Zip Code 92262

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Dataset Information

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.

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