MRS. KELLEY LYNN RODOLFF (NPI# 1669885539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669885539 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY LYNN RODOLFF |
| Other Name | MISS KELLEY LYNN SCHWARZ |
| Credential | PA-C |
| Practice Address |
300 Hospital Dr Vallejo CA 94589-2574 |
| Mailing Address |
1990 N California Blvd Suite 400 Walnut Creek CA 94596-3742 |
| Practice Telephone | 7075544444 |
| Mailing Telephone | 9252255837 |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2014-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 51648 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 HOSPITAL DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305077 | Genesis Ob Associates, PC | Obstetrics & Gynecology | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2017-06-08 |
| 1184156010 | Antony Mathew | Emergency Medicine | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2017-03-30 |
| 1710429857 | Reliant Medical Associates, PC | Obstetrics & Gynecology | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2016-11-07 |
| 1699135277 | Sutter Health Sacramento Sierra Region | Clinical Medical Laboratory | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2016-02-25 |
| 1033586151 | Hieu Minh Phan | Pharmacist | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2015-08-24 |
| 1689053720 | Nicholas Taylor | Internal Medicine | 300 Hospital Dr, Vallejo, CA 94589 | 2015-05-21 |
| 1992199160 | Diagnostic Pathology Medical Group Inc | Pathology | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2015-03-25 |
| 1629404744 | Stephen Asiain Tatom | Registered Nurse | 300 Hospital Dr, Sutter Solano Medical Center, Vallejo, CA 94589-2574 | 2013-09-20 |
| 1134564586 | Northern California Pet Imaging Center | Nuclear Medicine | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2013-04-29 |
| 1306183421 | Dhp of Sutter Solano Medical Group Inc | Hospitalist | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2013-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055329 | Leonardo Alexander Sanchez Espinoza | Physician Assistant | 440 Carlson St, Vallejo, CA 94590-7320 | 2020-08-28 |
| 1922641521 | Stephanie Ray | Physician Assistant | 1900 Ascot Pkwy Apt 1413, Vallejo, CA 94591-8337 | 2019-10-26 |
| 1982249314 | Tramanh Bui | Physician Assistant | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-11-08 |
| 1013550698 | Brittany Nichole Hart | Physician Assistant | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-10-25 |
| 1346891017 | Geni Garcia | Physician Assistant | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-09-24 |
| 1427612910 | Heather Wright | Physician Assistant | 220 Hospital Dr, Vallejo, CA 94589-2517 | 2019-04-30 |
| 1710490149 | Jason J Ricci | Physician Assistant | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2017-11-07 |
| 1760912117 | Nicole Kaleen Young | Physician Assistant | 100 Hospital Dr Ste 303, Vallejo, CA 94589-2583 | 2017-06-19 |
| 1285184242 | Mereb Habtetsion | Physician Assistant | 243 Georgia St Ste B, Vallejo, CA 94590-5905 | 2016-10-13 |
| 1639546914 | Monica A. Muzzin | Physician Assistant | 100 Hospital Dr, Vallejo, CA 94589-2580 | 2015-08-21 |
| Find all providers in VALLEJO | ||||
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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.