MRS. KELLY LYNN BROOKS


Address: 828 Ventura St Ste 100, Fillmore, CA 93015
Phone: 8055242000

MRS. KELLY LYNN BROOKS (NPI# 1366689358) 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) 1366689358
Entity Type Individual
Full Name MRS. KELLY LYNN BROOKS
Credential PA-C
Practice Address 828 Ventura St Ste 100
Fillmore
CA 93015
Mailing Address 4484 Coffeetree Ln
Moorpark
CA 93021-3533
Practice Telephone 8055242000
Mailing Telephone 8055292225
Mailing Fax Number 8055292225
Enumeration Date 2009-01-13
Last Update Date 2009-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
20091 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY BROOKS

NPI Name Taxonomy Address Enumeration
1114360484 Kelly A Brooks Nutritionist 2530 Whirlwind St, Corpus Christi, TX 78414-5010 2013-04-16
1083816300 Kelly Annette Brooks Counselor 1224 Pennsylvania St Ne, Albuquerque, NM 87110-7410 2007-05-31
1215073960 Kelly Dugger Brooks Social Worker 4480 Corbin Ct, Tallahassee, FL 32309-2286 2007-01-29
1508806530 Kelly Brooks Nurse Anesthetist, Certified Registered 3564 Willow Beach St Sw, Prior Lake, MN 55372 2006-06-07
1235750167 Kelly Brooks Dietitian, Registered 374 Stockholm St, Brooklyn, NY 11237-4006 2020-05-01
1407327059 Kelly Michelle Brooks Social Worker 317 N 2nd St, Temple, TX 76501-3216 2018-12-07
1013496850 Kelly Brooks Speech-Language Pathologist 12110 Clayton Rd, Saint Louis, MO 63131-2516 2018-08-13
1336668540 Kelly Brooks Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2017-09-19
1881056414 Kelly Meghan Brooks Family Medicine 28 Centre Dr, Milton, VT 05468-3104 2016-03-23
1750717138 Kelly Robinson Brooks Registered Nurse 2141 K St Nw, Suite 3, Washington, DC 20037-1810 2013-09-18

Office Location

Street Address 828 VENTURA ST STE 100
City FILLMORE
State CA
Zip Code 93015

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003471830 Sarah Jeanette Ettinger Student in an Organized Health Care Education/Training Program Sbcd, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 2019-05-07
1518522341 Elizabeth Pandian Student in an Organized Health Care Education/Training Program Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 2019-05-07
1407350549 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 328 Central Ave, Fillmore, CA 93015 2018-03-22
1356560718 Ventura County Behavioral Health Community/Behavioral Health 828 W Ventura St Ste 240, Fillmore, CA 93015 2007-04-24
1487726766 Alejandro Echeverry Dentist 1317 Ventura St, Suite C, Fillmore, CA 93015 2006-11-14
1265545321 Nasr N Anees Family Medicine 355 Central Avenue, Clinicas Del Camino Real, Inc, Fillmore, CA 93015 2006-08-15
1487219358 Roxana Ardebili Student in an Organized Health Care Education/Training Program Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 2019-05-07
1235794009 Philip Wan Student in an Organized Health Care Education/Training Program Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 2019-05-07
1679138531 Gretel Dayna D'souza Student in an Organized Health Care Education/Training Program Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 2019-05-07
1861057671 Shealinna Ge Student in an Organized Health Care Education/Training Program Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 2019-05-07
Find all providers in zip 93015

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649894403 Kathlyn Larco Physician Assistant 1233 W Randall Way, West Covina, CA 91790-4747 2020-06-07
1487126421 Eliza Hughes Physician Assistant 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 2018-12-31
1508333873 Andrew Cantos Malit Physician Assistant 409 Bristol Way, Corona, CA 92879-6156 2018-10-25
1578049458 Ida Jelveh Physician Assistant 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 2018-07-13
1356833578 Michael James Gonzalez Physician Assistant 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 2018-06-04
1023500592 Pamela Lambert Pa-c, Inc. Physician Assistant 16105 Mariposa Ave, Riverside, CA 92504-8730 2018-05-31
1225532385 Folsom Physicain Assistant First Assist, Inc Physician Assistant Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 2018-03-22
1275040008 Gm Surgical Assistant Inc Physician Assistant 15615 Turnberry St, Moreno Valley, CA 92555-4901 2018-01-02
1902311186 Or Solutions Inc Physician Assistant 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 2017-12-09
1184143828 Alaa Abdalla Daghlas Physician Assistant 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 2017-09-13
Find all providers with the same taxonomy

Competitor

Search similar providers

City FILLMORE
Zip Code 93015

Improve Information

Please comment or provide details below to improve the information on MRS. KELLY LYNN BROOKS.

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.

Trending Searches