KELLY YU (NPI# 1144458928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144458928 |
Entity Type | Individual |
Full Name | KELLY YU |
Credential | DPM |
Practice Address |
1045 W Redondo Beach Blvd Suite 106 Gardena CA 90247-4128 |
Practice Telephone | 3103232887 |
Mailing Telephone | 3103232887 |
Enumeration Date | 2009-06-30 |
Last Update Date | 2012-05-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4999 | CA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
EL1793 | CA | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528220480 | Kelly Yu | Dentist | 313 6th Ave, Apt 1a, New York, NY 10014-4445 | 2008-07-01 |
1184148082 | Kelly Yu | Psychologist | 132 E Main St, Bay Shore, NY 11706-8302 | 2017-08-01 |
Street Address |
1045 W REDONDO BEACH BLVD SUITE 106 |
City | GARDENA |
State | CA |
Zip Code | 90247-4128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073513925 | Kimberly Jill Eddings-reece | Internal Medicine | 1045 W Redondo Beach Blvd, Suite 240, Gardena, CA 90247-4128 | 2005-07-21 |
1891118477 | Christine Marie Gutierrez | Nurse Practitioner | 1045 W Redondo Beach Blvd, St 500, Gardena, CA 90247-4128 | 2014-02-02 |
1265772107 | Matthew Thomas Breismeister | Physical Therapist | 1045 W Redondo Beach Blvd, 130, Gardena, CA 90247-4128 | 2013-02-28 |
1952670341 | Annette A. Coronel-perey,m.d., Inc. | Pediatrics | 1045 W Redondo Beach Blvd, Suite 100, Gardena, CA 90247-4128 | 2011-12-14 |
1720397383 | Crystal Danae Burgers | Nurse Practitioner | 1045 W Redondo Beach Blvd, Ste. # 500, Gardena, CA 90247-4128 | 2010-09-30 |
1083890701 | East-west Eye Institute A Medical Corporation | Optometrist | 1045 W Redondo Beach Blvd, Suite 400, Gardena, CA 90247-4128 | 2008-01-11 |
1336324805 | Gary E Ford M.d.,(a Professional Corporation) | Otolaryngology | 1045 W Redondo Beach Blvd, Suite 575, Gardena, CA 90249-4128 | 2008-01-03 |
1750560710 | Sanford H Gaynor, M.d.,inc. | Internal Medicine | 1045 W Redondo Beach Blvd, Suite 115, Gardena, CA 90247-4128 | 2007-10-26 |
1982894572 | Lawrence I Rubin Dpm, Inc | Podiatrist | 1045 W Redondo Beach Blvd, #250, Gardena, CA 90247-4128 | 2007-07-30 |
1801918248 | Tim T. Tsukamoto | Pharmacist | 1045 W Redondo Beach Blvd, Suite 140, Gardena, CA 90247-4128 | 2007-04-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
Find all providers in zip 90247 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013177633 | Nidal Khaja | Podiatrist | 1246 W 155th St, Gardena, CA 90247-4011 | 2008-06-17 |
1003075656 | Bryce K. Yamauchi | Podiatrist | 1300 W 155th St, Suite 210, Gardena, CA 90247-4048 | 2008-06-07 |
1215027446 | Rabin Beral Dpm A Podiatry Corporation | Podiatrist | 1141 W Redondo Beach Blvd, Ste 302, Gardena, CA 90247-3583 | 2006-10-16 |
1871673616 | Lisa Leung Chu | Podiatrist | 1045 W Redondo Beach Blvd, #106, Gardena, CA 90247-4128 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
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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.