JASON F. KELLY


Address: 275 W Macarthur, Oakland, CA 94611-5641
Phone: 5107521000

JASON F. KELLY (NPI# 1063590859) 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) 1063590859
Entity Type Individual
Full Name JASON F. KELLY
Credential MD
Practice Address 275 W Macarthur
Oakland
CA 94611-5641
Practice Telephone 5107521000
Mailing Telephone 5107521000
Enumeration Date 2006-11-01
Last Update Date 2014-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
A61299 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A612990 05

Other Providers JASON KELLY

NPI Name Taxonomy Address Enumeration
1831644251 Jason Kelly Spec/Tech, Cardiovascular 7012 E Nelson Dr, Tucson, AZ 85730-1718 2016-08-16
1861034571 Jason Lee Kelly Pharmacist 100 Walmart Dr, Kingwood, WV 26537-1143 2019-10-14
1811452378 Jason P Kelly Massage Therapist 709 N Main St, North Syracuse, NY 13212-1669 2019-02-08
1598050544 Jason Kelly Family Medicine 9000 Bailey Cove Rd Se, Huntsville, AL 35802-4002 2011-06-17
1669785556 Jason Kelly Orthopaedic Surgery 3000 32nd Ave S, Fargo, ND 58103-6132 2010-07-20
1538399738 Jason Stuart Kelly Anesthesiology 1250 S 18th St, Fernandina Beach, FL 32034-1902 2009-07-22
1346442159 Jason Matthew Kelly Pharmacist 105 Mall Blvd, Monroeville, PA 15146-2230 2007-06-04
1033277876 Jason Alexander Kelly Family Medicine 101 Bodin Cir, Travis Afb, CA 94535-1809 2006-12-05
1073543831 Jason Kelly Radiology 101 E Wood St, Spartanburg, SC 29303-3040 2006-07-04
1659324473 Jason Kelly Radiology 501 E Hampden Ave, Englewood, CO 80113-2702 2006-05-19

Office Location

Street Address 275 W MACARTHUR
City OAKLAND
State CA
Zip Code 94611-5641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235132580 David Law Internal Medicine 275 W Macarthur, Oakland, CA 94611-5641 2005-05-31
1003247818 Suzanne P Whitcomb Physical Therapist 275 W Macarthur, Oakland, CA 94611-5641 2013-12-03
1629400445 Jason Villarin Physical Therapist 275 W Macarthur, Oakland, CA 94611-5641 2013-08-02
1619311560 Failin Au Psychologist 275 W Macarthur, Oakland, CA 94611-5641 2013-04-22
1447592266 Kimberly Gail Ernest Physician Assistant 275 W Macarthur, Oakland, CA 94611-5641 2013-03-19
1336489657 Heather L. Tyson Physical Therapist 275 W Macarthur, Oakland, CA 94611-5641 2013-02-22
1083966931 Gregory Miller Barnell Nurse Practitioner 275 W Macarthur, Oakland, CA 94611-5641 2012-10-02
1164773594 Bonnie L Taylor Physician Assistant 275 W Macarthur, Oakland, CA 94611-5641 2012-09-25
1073861308 Heidi Evelynne Meck Psychologist 275 W Macarthur, Oakland, CA 94611-5641 2012-08-16
1457607913 Shilpa V Patel Internal Medicine 275 W Macarthur, Oakland, CA 94611-5641 2012-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063028454 Abduljabbar Alhammoud Student in an Organized Health Care Education/Training Program Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 2020-09-21
1184287435 Unfold Psychology: A. Heafey Practice Psychologist 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 2019-04-22
1700389699 Katie Herron Student in an Organized Health Care Education/Training Program 2535 Harrison St., Oakland, CA 94611 2018-03-16
1861923351 Hoiwan Cheung Student in an Organized Health Care Education/Training Program 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 2017-03-25
1104377126 Collin Chan Pharmacist 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 2016-10-14
1912457276 Madeline Marie Perket Registered Nurse 933 Kingston Ave, Piedmont, CA 94611 2016-10-11
1962959460 Healing Arts Chiropractic Chiropractor 187 40th Street Way, Oakland, CA 94611 2016-09-01
1033573829 Diana Murphy Counselor 629 Oakland, Oakland, CA 94611 2016-04-08
1437515483 Laura Northrup II Marriage & Family Therapist 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 2016-01-06
1558736835 Michael Joseph Scollard Dentist 42 Linda Ave., Oakland, CA 94611 2015-12-11
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164751541 Dennis R Hill Md Professional Corporation Radiology 3012 Summit St # 2675, Oakland, CA 94609-3480 2009-12-15
1255329637 John R Salzman Md Inc Radiology 450 30th St, Dept G800, Oakland, CA 94609-3302 2005-10-11
1003002718 Trang H. La Radiology 275 W Macarthur, Oakland, CA 94611-5641 2007-09-18
1457349342 John Richard Salzman Radiology 450 30th St, Dept G800, Oakland, CA 94609-3302 2005-10-13
1932192242 Michael J. Faer Radiology 411 30th St, #508, Oakland, CA 94609-3310 2005-08-23
1013900331 Charles E. Fiske Radiology 411 30th St, #508, Oakland, CA 94609-3310 2005-08-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154933034 Andrew Lim Radiology 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 2020-08-20
1083275200 Centerpoint Radiation Oncology, Inc. Radiology 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 2019-06-27
1922450840 Cynthia Bajada Chasan Radiology 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 2016-07-02
1871906396 Sammy Mohamed Ashouri Radiology 300 Pasteur Dr Rm H1330, Stanford, CA 94305 2014-06-03
1235540469 Julian C Hong Radiology 1825 4th St Rm M2260, San Francisco, CA 94143-2350 2014-05-09
1295155422 Rishabh Chaudhari Radiology 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 2014-04-28
1407278211 Vincent S. T. Cheng Radiology 6022 W Sweet Dr, Visalia, CA 93291-8924 2014-01-13
1487085221 Peter Allison Austin Radiology 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 2013-12-04
1760820666 Sandra Birdwell Radiology 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 2013-06-13
1063859874 John Vidyadhar Hegde Radiology Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 2013-06-03
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Competitor

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City OAKLAND
Zip Code 94611

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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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