JOHN G KELLY (NPI# 1396168258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396168258 |
| Entity Type | Individual |
| Full Name | JOHN G KELLY |
| Credential | HIS |
| Practice Address |
4504 Clairemont Mesa Blvd San Diego CA 92117-2065 |
| Mailing Address |
6700 Washington Ave S Eden Prairie MN 55344-3405 |
| Practice Telephone | 6192750011 |
| Practice Fax Number | 6192750013 |
| Mailing Telephone | 8003288602 |
| Mailing Fax Number | 9522853980 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2018-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | HA 1806 | CA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2204 S El Camino Real Ste 14, Oceanside, CA 920546391 | 7604395755 | |
| 785 Grand Ave Ste 210a, Carlsbad, CA 920082371 | 7604342643 | 6192750013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412893 | John Kelly | Home Health Aide | 337 Great Oaks Trl, Wadsworth, OH 44281-9427 | 2020-09-16 |
| 1952969826 | John Kelly | Community Health Worker | 4048 Crestwood Dr, Wausau, WI 54403-8122 | 2019-06-04 |
| 1629530712 | John J Kelly | Otolaryngology | 579 W Moorwood St, Green Valley, AZ 85614-5980 | 2019-04-05 |
| 1851886568 | John D Kelly | Counselor | 481 8th Ave Ste 520, New York, NY 10001-1809 | 2018-06-25 |
| 1255876041 | John Edward Kelly | Physician Assistant | 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 2017-01-03 |
| 1225487986 | John Kelly | Pharmacist | 3761 Knollcroft St, Easton, PA 18045-3026 | 2016-06-03 |
| 1588023246 | John Kelly | Behavior Technician | 1118 Poindexter Ave W, Bremerton, WA 98312-4337 | 2016-02-23 |
| 1760880173 | John Kelly | Dentist | 4833 Bethesda Ave Ste 302, Bethesda, MD 20814-5244 | 2014-12-17 |
| 1508135252 | John Kelly | Counselor | 4550 Lantana Road, Suite A4, Lake Worth, FL 33463 | 2011-12-27 |
| 1497055008 | John Peter Kelly | Occupational Therapist | 21 Dorothy Ln, Kings Park, NY 11754-2932 | 2010-10-28 |
| Street Address |
4504 CLAIREMONT MESA BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306276886 | Northland Hearing Centers, Inc | Audiologist-Hearing Aid Fitter | 4504 Clairemont Mesa Blvd, San Diego, CA 92117-2065 | 2013-11-19 |
| 1366894354 | San Diego Hearing Aids, Inc. | Hearing Aid Equipment | 4504 Clairemont Mesa Blvd, Suite 104, San Diego, CA 92117-2065 | 2016-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089474 | Manuel E Anaya | Hearing Instrument Specialist | 9340 Clairemont Mesa Blvd Ste D, San Diego, CA 92123-1224 | 2018-07-06 |
| 1942750344 | Clear Choice Hearing Aid Center Inc | Hearing Instrument Specialist | 16483 Bernardo Center Dr, San Diego, CA 92128-2523 | 2016-10-10 |
| 1396112876 | Nathaniel Bruce-black | Hearing Instrument Specialist | 16777 Bernardo Center Dr, E9, San Diego, CA 92128-2572 | 2015-08-31 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1669771598 | Dana M Knutson | Hearing Instrument Specialist | 1060 University Ave Ste A215, Miracle-ear Center, San Diego, CA 92103-7345 | 2011-03-17 |
| 1649419250 | Mir Jafarinejad | Hearing Instrument Specialist | 7850 Mission Center Ct, Suite 101-a, San Diego, CA 92108-1322 | 2009-02-05 |
| 1588801435 | Hong D. Vu | Hearing Instrument Specialist | 7612 Linda Vista Rd Ste 113, San Diego, CA 92111-5313 | 2009-01-14 |
| 1518159300 | A-adams Hearing Aid Center Inc | Hearing Instrument Specialist | 3605 Adams Ave, San Diego, CA 92116-2213 | 2007-08-15 |
| 1962628123 | Joanne Miller | Hearing Instrument Specialist | 2827 33rd St, San Diego, CA 92104-5116 | 2007-04-17 |
| 1629196969 | Collette L Forshan | Hearing Instrument Specialist | 9912 Carmel Mountain Rd Ste F, San Diego, CA 92129-2808 | 2007-03-26 |
| Find all providers in SAN DIEGO | ||||
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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.