DR. JOHN PATRICK KELLY (NPI# 1699703959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699703959 |
| Entity Type | Individual |
| Full Name | DR. JOHN PATRICK KELLY |
| Credential | M.D. |
| Practice Address |
11190 Warner Ave Ste 300 Fountain Valley CA 92708-4045 |
| Practice Telephone | 7142417000 |
| Practice Fax Number | 7142417003 |
| Mailing Telephone | 7142417000 |
| Mailing Fax Number | 7142417003 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A68410 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A684100 | 05 |
| 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 |
11190 WARNER AVE STE 300 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720052459 | Ryan Andrew Fan | Orthopaedic Surgery | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2006-02-17 |
| 1225639032 | Orthowest | Durable Medical Equipment & Medical Supplies | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2020-11-06 |
| 1962047365 | Daniel Tran-hoa Nguyen | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2019-11-10 |
| 1942843107 | Gryska Gonzalez | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2019-10-21 |
| 1720542665 | Jaylene Thien Nguyen | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2019-01-24 |
| 1417429705 | Jaymee Castillo | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2018-12-26 |
| 1285109892 | Kenneth Robert Burns | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2018-10-10 |
| 1124510953 | Adina Cho | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2018-06-06 |
| 1649655259 | Sean Tomiya Richland | Physician Assistant | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2015-07-24 |
| 1386070894 | Chung Won Kim | Nurse Practitioner | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2013-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073866786 | Palm Healthcare, Inc. | Orthopaedic Surgery | 18837 Brookhurst St Ste 106, Fountain Valley, CA 92708-7301 | 2012-10-18 |
| 1164790507 | Jeffrey Wong | Orthopaedic Surgery | 18785 Brookhurst St Ste 100, Fountain Valley, CA 92708-7300 | 2011-12-13 |
| 1982995916 | Minal Dileep Tapadia | Orthopaedic Surgery | 11170 Warner Ave Ste 106, Fountain Valley, CA 92708-4014 | 2011-04-25 |
| 1730405440 | Borys Gvozdyev | Orthopaedic Surgery | 18035 Brookhurst St Ste 1200, Fountain Valley, CA 92708-6738 | 2010-04-20 |
| 1427221134 | Trong B Nguyen | Orthopaedic Surgery | 18035 Brookhurst St # 1100, Fountain Valley, CA 92708-6738 | 2008-04-02 |
| 1700096393 | Christopher C. Ninh | Orthopaedic Surgery | 11190 Warner Ave Ste 306, Fountain Valley, CA 92708-4047 | 2007-05-23 |
| 1679645204 | Trieu T Tran, Md. Inc. | Orthopaedic Surgery | 11180 Warner Ave Ste 455, Fountain Valley, CA 92708-7505 | 2006-11-15 |
| 1720052459 | Ryan Andrew Fan | Orthopaedic Surgery | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2006-02-17 |
| 1093223034 | Anatol Podolsky Md Inc | Orthopaedic Surgery | 18035 Brookhurst St Ste 1200, Fountain Valley, CA 92708-6738 | 2018-01-11 |
| 1780049619 | Darius E Lin, Md, Inc | Orthopaedic Surgery | 11160 Warner Avenue, Suite 311, Fountain Valley, CA 92708-4055 | 2015-12-18 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.