ANDREW P KELLY


Address: 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301
Phone: 3106734660

ANDREW P KELLY (NPI# 1316920895) 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) 1316920895
Entity Type Individual
Full Name ANDREW P KELLY
Credential MD
Practice Address 555 E Hardy Street
Centinela Hospital Medical Center
Inglewood
CA 90301
Mailing Address Po Box 5686
Orange
CA 92863-5686
Practice Telephone 3106734660
Mailing Telephone 8885988819
Mailing Fax Number 7145715055
Enumeration Date 2005-11-29
Last Update Date 2015-02-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
G66498 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TRAILBLAZER 050739CF85471 01
CALOPTIMA 00G664980E02 01
CA 00G664980 05
RAILROAD MEDICARE P00225785 01
BLUE SHIELD 00G664980 01

Other Providers ANDREW KELLY

NPI Name Taxonomy Address Enumeration
1992888242 Andrew Wayne Kelly Dentist 5710 W Gate City Blvd, Greensboro, NC 27407-7061 2006-10-23
1073625018 Andrew John Kelly Physician Assistant 824 Main Street, Suite 100, Phoenixville, PA 19460 2006-08-31
1871593004 Andrew Edward Kelly Physical Therapist 165 N Redwood Dr, San Rafael, CA 94903-1969 2005-07-29
1700348729 Andrew David Kelly Student in an Organized Health Care Education/Training Program 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2019-04-01
1417422171 Andrew Kelly Assistant Behavior Analyst 12505 Starkey Rd Ste J, Largo, FL 33773-2617 2018-10-09
1619467081 Andrew Kelly Counselor 2715 Colonial Dr Ste 200a, Columbia, SC 29203-6818 2018-05-11
1396250981 Andrew Kelly Physical Therapist 13330 Bloomfield Ave Ste 101, Norwalk, CA 90650-3259 2017-12-05
1104356377 Andrew Nicholas Kelly Physician Assistant 8835 Germantown Ave, Philadelphia, PA 19118-2718 2017-06-19
1831519420 Andrew Kelly Student in an Organized Health Care Education/Training Program 79 Retreat Avenue, Adult Primary Care Brownstone Clinic, Farmington, CT 06032 2014-04-22
1437492949 Andrew Louis Kelly Family Medicine 7858 S Olympia Ave, Tulsa, OK 74132-1857 2013-04-03

Office Location

Street Address 555 E HARDY STREET
CENTINELA HOSPITAL MEDICAL CENTER
City INGLEWOOD
State CA
Zip Code 90301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497732911 Michael J Dawson Radiology 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301 2005-12-27
1427034115 Ronald S Kingston Nuclear Medicine 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301 2005-12-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548897945 Genevieve V. Angel Registered Nurse 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 2020-03-25
1992338552 Ralph Kevin Roque Licensed Practical Nurse 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 2020-02-21
1043841562 Evelyn Jones Social Worker 555 E. Hardy Street, Inglewood, Ca, CA 90301 2020-02-03
1447896444 Coral Dabarera Edelson Dietitian, Registered 110 North La Brea Ave, Inglewood, CA 90301 2019-11-25
1821642125 Jennifer Robert Umoh Student in an Organized Health Care Education/Training Program 412 E Florence Avenue, Inglewood, CA 90301 2019-07-25
1821567751 Esther Voltaire Behavior Technician 619 E Arbor Vitae St, Inglewood, CA 90301 2018-11-21
1902372832 Pool Medical Supply Inc Durable Medical Equipment & Medical Supplies 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 2018-10-18
1174003594 Xelnt Healthcare Inc. Clinic/Center 501 E Hardy St Ste 425, Inglewood, CA 90301 2018-08-15
1710409321 Rae Shelston Mcintosh Licensed Vocational Nurse 1007 Myrth Ave, Inglewood, CA 90301 2017-07-14
1477093789 Lewis E Logan II Counselor 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 2017-03-06
Find all providers in zip 90301

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639323314 Nick Dzebolo Md Inc Radiology 301 N Prairie Ave, #125, Inglewood, CA 90301-4507 2008-11-07
1275575557 Arash David Tehranzadeh Radiology 555 E Hardy St, Inglewood, CA 90301-4011 2006-06-12
1689615437 John Bernard Braunstein Radiology 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301-4011 2006-06-10
1184603128 Craig J Gomberg Radiology 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301 2006-01-10
1497732911 Michael J Dawson Radiology 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301 2005-12-27
1942284781 Dipak J Ranparia Radiology 323 N Prairie Ave, Suite 114, Inglewood, CA 90301-4502 2005-12-05
1518941616 Donald S Mayekawa Radiology 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301 2005-12-01
1073596557 Donald C Boger Radiology 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301-4011 2005-11-29
1861475352 Centinela Radiology Medical Group Radiology 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301-4011 2005-11-29
1700869203 Michael S Shaub Radiology 555 E Hardy St, Centinela Hospital Medical Center, Inglewood, CA 90301 2005-11-29
Find all providers in INGLEWOOD

Competitor

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City INGLEWOOD
Zip Code 90301

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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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