DR. KELLY ELIZABETH MCCANN (NPI# 1942599915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942599915 |
| Entity Type | Individual |
| Full Name | DR. KELLY ELIZABETH MCCANN |
| Credential | M.D., PH.D. |
| Practice Address |
2336 Santa Monica Blvd Ste 304 Santa Monica CA 90404-2067 |
| Mailing Address |
5767 W Century Blvd Ste 420120 Los Angeles CA 90045-5631 |
| Practice Telephone | 3109984747 |
| Practice Fax Number | 3109884757 |
| Mailing Fax Number | 5034948513 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A131605 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A131605 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104360585 | Kelly Mccann | Occupational Therapist | 60 Oakwood Dr, Chapel Hill, NC 27517-5652 | 2016-12-05 |
| 1376901504 | Kelly Mccann | Licensed Practical Nurse | 18 Ames St, Mount Vernon, OH 43050-4610 | 2016-02-02 |
| 1205210945 | Kelly Mccann | Marriage & Family Therapist | 2721 East Pacific Coast Highway, Suite 209, Corona Del Mar, CA 92625 | 2015-07-13 |
| 1770923203 | Kelly Finch Mccann | Optometrist | 216 Mall Blvd, Suite 100, Lasikplus, King of Prussia, PA 19406 | 2013-06-28 |
| 1336155381 | Kelly Kathlyn Mccann | Internal Medicine | 1831 Orange Ave Ste C, Costa Mesa, CA 92627-2839 | 2006-07-31 |
| 1437422052 | Kelly D Mccann | Psychologist | 97 Main St, Lancaster, NH 03584-3063 | 2012-02-13 |
| 1376501445 | Kelly Mccann | Physical Therapist | 13336 Industrial Rd, Suite 105, Omaha, NE 68137-1124 | 2006-05-01 |
| Street Address |
2336 SANTA MONICA BLVD STE 304 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235376674 | Core Surgery Center Inc | Clinic/Center | 2336 Santa Monica Blvd Ste 304, Santa Monica, CA 90404-2067 | 2009-01-07 |
| 1083164008 | Erica Silver | Genetic Counselor, MS | 2336 Santa Monica Blvd Ste 304, Santa Monica, CA 90404-2067 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821105248 | Jonathan W Simons | Internal Medicine | 1250 4th St, Suite 360, Santa Monica, CA 90401-1366 | 2006-08-23 |
| 1407880891 | Thompson Adams | Internal Medicine | 2336 Santa Monica Blvd Ste 301, Santa Monica, CA 90404-2067 | 2006-07-10 |
| 1750322566 | Sarcoma Oncology Center | Internal Medicine | 2811 Wilshire Blvd., Suite 414, Santa Monica, CA 90403 | 2006-06-10 |
| 1205877958 | Sant P. Chawla M.d. Inc. | Internal Medicine | 2811 Wilshire Blvd. Suite #414, Santa Monica, CA 90403 | 2006-06-10 |
| 1023083888 | Carol Yukiko Nishikubo | Internal Medicine | 2021 Santa Monica Blvd Ste 400e, Santa Monica, CA 90404-2103 | 2006-02-22 |
| 1922341205 | Steven C Tsai | Internal Medicine | 2020 Santa Monica Blvd Ste 600, Santa Monica, CA 90404-2131 | 2013-04-04 |
| 1508144783 | Grace Chang | Internal Medicine | 2021 Santa Monica Blvd Ste 400e, Santa Monica, CA 90404-2103 | 2011-07-22 |
| 1932336211 | Ucla Hematology and Oncology, Santa Monica | Internal Medicine | 2020 Santa Monica Blvd, Suite 600, Santa Monica, CA 90404-2023 | 2009-06-15 |
| 1881897494 | Timothy S Kristedja | Internal Medicine | 2021 Santa Monica Blvd Ste 400e, Santa Monica, CA 90404-2103 | 2007-06-09 |
| 1033236765 | Calvin Robert Klein | Internal Medicine | 2336 Santa Monica Blvd, Suite 301, Santa Monica, CA 90404-2095 | 2007-03-26 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on DR. KELLY ELIZABETH MCCANN.
| 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.