DR. GARY C. KELLEY (NPI# 1174522635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174522635 |
| Entity Type | Individual |
| Full Name | DR. GARY C. KELLEY |
| Credential | D.C. |
| Practice Address |
151 N Sunrise Ave Ste 701 Roseville CA 95661-2927 |
| Mailing Address |
8720 Taajanar Ct Orangevale CA 95662-2625 |
| Practice Telephone | 9167865828 |
| Practice Fax Number | 9167865055 |
| Mailing Telephone | 9169888645 |
| Mailing Fax Number | 9169877426 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2017-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 15262 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RAILROAD | 350043160 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013028653 | Gary Bernard Kelley | Psychologist | 33595 Bainbridge Rd, Suite 102, Solon, OH 44139-2942 | 2006-08-31 |
| 1215340856 | Gary Kelley | Psychologist | 4001 King Ave, Corcoran, CA 93212-9611 | 2014-06-10 |
| 1659474252 | Gary Lee Kelley | Physical Therapist | 711 Rush Ave, Bellefontaine, OH 43311 | 2006-09-07 |
| Street Address |
151 N SUNRISE AVE STE 701 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559003 | David Robert Dame | Chiropractor | 151 N Sunrise Ave, Ste 1413, Roseville, CA 95661-2934 | 2005-06-28 |
| 1194333559 | Laurie Mathias | Speech-Language Pathologist | 151 N Sunrise Ave, Roseville, CA 95661-2924 | 2020-07-21 |
| 1679198709 | Stanford Youth Solutions | Community/Behavioral Health | 151 N Sunrise Ave, Suite 811/ 813, Roseville, CA 95661-2924 | 2020-06-15 |
| 1154953370 | Alyssa Morford | Physical Therapist | 151 N Sunrise Ave, Roseville, CA 95661-2924 | 2020-02-05 |
| 1134759376 | Anna Vue | Nurse Practitioner | 151 N Sunrise Ave, Roseville, CA 95661-2924 | 2020-01-16 |
| 1992246730 | Jennifer L Ochoa | Speech-Language Pathologist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2017-03-13 |
| 1588104111 | Adijat Oladipo | Speech-Language Pathologist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2017-03-01 |
| 1326588955 | Angelica Maria Manzo Graham | Speech-Language Pathologist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2017-03-01 |
| 1821537176 | Deborah Plante Md PC | Internal Medicine | 151 N Sunrise Ave, Suite 611, Roseville, CA 95661-2924 | 2017-02-20 |
| 1275078784 | Molly Hyland | Occupational Therapist | 151 N Sunrise Ave, Suite 1105, Roseville, CA 95661-2924 | 2016-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718547 | Alex Anders- Cook D.c., A Life Clinic Corporation | Chiropractor | 1435 E Roseville Pkwy, Roseville, CA 95661-3066 | 2019-12-26 |
| 1104469204 | Zachary Thomas Owens | Chiropractor | 201 Harding Blvd Ste J, Roseville, CA 95678-2814 | 2019-10-21 |
| 1649743220 | Platinum Health Regenerative Solutions, Pa | Chiropractor | 2780 Snelling Ave N Ste 202, Roseville, MN 55113-7126 | 2019-01-07 |
| 1841771730 | Sarah Renee Ward | Chiropractor | 1098 Melody Ln Ste 102, Roseville, CA 95678-5138 | 2018-08-28 |
| 1578042206 | Senyi Ly | Chiropractor | 2345 Rice St Ste 155, Roseville, MN 55113-3720 | 2018-08-13 |
| 1588150049 | Out and About Chiropractic Pllc | Chiropractor | 1484 Clarmar Ave W, Roseville, MN 55113-1608 | 2018-07-09 |
| 1497258388 | Hannah Elizabeth Flammang Wong | Chiropractor | 2235 Douglas Blvd Ste 520, Roseville, CA 95661-4266 | 2018-03-16 |
| 1518331065 | Zawada Chiropractic Inc | Chiropractor | 1441 Secret Ravine Pkwy Ste 140, Roseville, CA 95661-6044 | 2015-11-20 |
| 1811327182 | Chris King | Chiropractor | 2101 Lemontree Way, Roseville, CA 95747-8865 | 2013-11-22 |
| 1851665863 | Anupam Arman | Chiropractor | 1137 Smith Ln, 8, Roseville, CA 95661-4103 | 2012-03-08 |
| Find all providers in ROSEVILLE | ||||
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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.