WILLIAM M. KELLY M.D., INC. (NPI# 1295718161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295718161 |
| Entity Type | Organization |
| Organization Name | WILLIAM M. KELLY M.D., INC. |
| Other Organization Name | OPEN MRI OF LOMA LINDA |
| Practice Address |
11360 Mountain View Ave Suite C Loma Linda CA 92354-3861 |
| Mailing Address |
44489 Town Center Way Ste. D Palm Desert CA 92260-2789 |
| Practice Telephone | 9094783300 |
| Practice Fax Number | 9094783900 |
| Mailing Telephone | 7607769777 |
| Mailing Fax Number | 7607764999 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2010-01-12 |
| Authorized Official Name | MS. MELONIE STORER (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Telephone | 9513022223 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAM M. KELLY M.D., INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A34125 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
A34125 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A341251 | 05 |
| Other Name | Type Code |
|---|---|
| Open MRI of Loma Linda | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306078225 | William M. Kelly M.d., Inc. | Radiology | 72980 Fred Waring Dr, Suite A, Palm Desert, CA 92260-2898 | 2009-08-11 |
| 1891969960 | William M. Kelly M.d., Inc. | Radiology | 31565 Rancho Puebla Rd, Suite 101, Temecula, CA 92592-4839 | 2008-04-18 |
| 1235203316 | William M. Kelly M.d., Inc. | Radiology | 8710 Monroe Court, Suite 100, Rancho Cucamonga, CA 91730-4883 | 2006-11-20 |
| 1922172550 | William M. Kelly M.d., Inc. | Radiology | 1080 N. Indian Canyon Dr., Suite 104, Palm Springs, CA 92262-4869 | 2006-11-17 |
| 1396816047 | William M. Kelly M.d., Inc. | Radiology | 29798 Haun Rd., Suite 103, Sun City, CA 92586-6541 | 2006-11-13 |
| 1922082767 | William M. Kelly M.d., Inc. | Radiology | 72980 Fred Waring Dr., Ste. A, Palm Desert, CA 92260-9339 | 2005-12-05 |
| 1700868338 | William M. Kelly M.d., Inc. | Radiology | 40700 California Oaks Rd, Ste 103, Murrieta, CA 92562 | 2005-11-18 |
| 1437149267 | William M. Kelly M.d., Inc. | Radiology | 74000 Country Club Dr, Suite E 1, Palm Desert, CA 92260-2789 | 2005-10-24 |
| 1497069660 | William M. Kelly M.d., Inc. | Radiology | 425 Diamond Dr, Suite 103, Lake Elsinore, CA 92530-4495 | 2010-07-30 |
| Street Address |
11360 MOUNTAIN VIEW AVE SUITE C |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 2085D0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Neuroimaging |
| A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
| Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992983282 | Adina Floarea Achiriloaie | Radiology | 11234 Anderson St, Llumc House Staff Office Cp 21005, Loma Linda, CA 92354-2804 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495363 | Faculty Physicians and Surgeons of Llusm | Radiology | 1850 N Riverside Ave Ste 160, Rialto, CA 92376-8056 | 2020-07-29 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1104249291 | Neurography Institute Global Consulting Inc | Radiology | 2716 Ocean Park Blvd Ste 3082, Santa Monica, CA 90405-5266 | 2014-01-27 |
| 1306078225 | William M. Kelly M.d., Inc. | Radiology | 72980 Fred Waring Dr, Suite A, Palm Desert, CA 92260-2898 | 2009-08-11 |
| 1215164934 | Linemed Health Services Inc | Radiology | 2016 N Riverside Ave, Suite D, Rialto, CA 92377-4655 | 2009-06-20 |
| 1598916306 | Calvin Louis Rumbaugh | Radiology | 6445 Twinberry Circle, Avila Beach, CA 93424-0517 | 2008-10-10 |
| 1891969960 | William M. Kelly M.d., Inc. | Radiology | 31565 Rancho Puebla Rd, Suite 101, Temecula, CA 92592-4839 | 2008-04-18 |
| 1548473556 | Pacific Radiology, LLC | Radiology | 2209 Coffee Road, Suite M, Modesto, CA 95355 | 2007-05-07 |
| 1235203316 | William M. Kelly M.d., Inc. | Radiology | 8710 Monroe Court, Suite 100, Rancho Cucamonga, CA 91730-4883 | 2006-11-20 |
| 1922172550 | William M. Kelly M.d., Inc. | Radiology | 1080 N. Indian Canyon Dr., Suite 104, Palm Springs, CA 92262-4869 | 2006-11-17 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.