MS. KELLEY HOFFMAN (NPI# 1265883250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265883250 |
| Entity Type | Individual |
| Full Name | MS. KELLEY HOFFMAN |
| Credential | N.P. |
| Practice Address |
148 W Avenida San Antonio San Clemente CA 92672-4354 |
| Practice Telephone | 9166079197 |
| Practice Fax Number | 9496074160 |
| Mailing Telephone | 9166079197 |
| Mailing Fax Number | 9496074160 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
16816 | CA | Nursing Service Providers |
| Street Address |
148 W AVENIDA SAN ANTONIO |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821533696 | South County Addiction Treatment Services, Inc. | Anesthesiology | 148 W Avenida San Antonio, San Clemente, CA 92672-4354 | 2017-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075549 | Tracy Eileen Erickson | Registered Nurse | 8950 Cal Center Dr Ste 160, Sacramento, CA 95826-3225 | 2020-05-22 |
| 1942837232 | Joe Charles Filipi | Registered Nurse | 29 Rowan Dr, Aliso Viejo, CA 92656-4280 | 2020-03-25 |
| 1932739141 | Wallace T. Wiggam | Registered Nurse | 2403 Professional Dr # Ca, Santa Rosa, CA 95403-3007 | 2020-01-16 |
| 1144785254 | Vincent Falcone | Registered Nurse | 6715 W Wren Ave, Visalia, CA 93291-8344 | 2019-02-02 |
| 1427544642 | Tamekia Latesica Brown | Registered Nurse | 9418 Wareham Dr, Bakersfield, CA 93313-5816 | 2018-07-11 |
| 1942701313 | Beatrix Dozier | Registered Nurse | 293 N State College Blvd Apt 2061, Orange, CA 92868-5715 | 2018-02-21 |
| 1326564147 | Continued Care Nursing Services Inc. | Registered Nurse | 45741 Shadow Mountain Dr, Palm Desert, CA 92260-4624 | 2017-08-15 |
| 1265989727 | Nurses for Safe Access | Registered Nurse | 27209 Highway 189, Blue Jay, CA 92317 | 2016-09-01 |
| 1215396114 | Richard Perlstein | Registered Nurse | 23524 Daisetta Dr, Newhall, CA 91321-3721 | 2016-02-19 |
| 1942694138 | Deidre Fitzpatrick | Registered Nurse | 3151 Airway Ave Ste D1, Costa Mesa, CA 92626-4622 | 2015-03-25 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
Please comment or provide details below to improve the information on MS. KELLEY HOFFMAN.
| 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.