KELLY CATHLEEN FEE (NPI# 1831478742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831478742 |
| Entity Type | Individual |
| Full Name | KELLY CATHLEEN FEE |
| Other Name | KELLY CATHLEEN VANDERBEEK |
| Credential | PA |
| Practice Address |
831 Via Suerte Suite 102 San Clemente CA 92673-6531 |
| Practice Telephone | 9493645600 |
| Practice Fax Number | 9493642231 |
| Mailing Telephone | 9493645600 |
| Mailing Fax Number | 9493642231 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18152 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
831 VIA SUERTE SUITE 102 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578555215 | Elwyn Loren Rexinger | Family Medicine | 831 Via Suerte, Suite 102, San Clemente, CA 92673-6531 | 2005-08-18 |
| 1972644482 | Torsten J Kruse | Internal Medicine | 831 Via Suerte, Suite 102, San Clemente, CA 92673-6531 | 2007-02-08 |
| 1336151224 | Daniel Depmore | Physician Assistant | 831 Via Suerte, Suite 102, San Clemente, CA 92673-6531 | 2006-08-12 |
| 1003809963 | Kenneth Lloyd Rexinger | Internal Medicine | 831 Via Suerte, Suite 102, San Clemente, CA 92673-6531 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932686144 | Nicole Jean Stenquist | Physician Assistant | 905 Calle Amanecer Ste 115, San Clemente, CA 92673-6226 | 2018-07-20 |
| 1720332851 | Sharon Staruch-christopher | Physician Assistant | 665 Camino De Los Mares # 100, San Clemente, CA 92673-2859 | 2012-10-26 |
| 1043516404 | Michael M Roham | Physician Assistant | 302 N El Camino Real Ste 112, San Clemente, CA 92672-4776 | 2011-02-02 |
| 1407395528 | Klp Medical | Physician Assistant | 1508 Calle Sacramento, San Clemente, CA 92672-4913 | 2017-02-22 |
| 1508953134 | Brent R. Palman | Physician Assistant | 1300 Avenida Vista Hermosa, Suite 240, San Clemente, CA 92673-6315 | 2006-10-06 |
| 1336151224 | Daniel Depmore | Physician Assistant | 831 Via Suerte, Suite 102, San Clemente, CA 92673-6531 | 2006-08-12 |
| 1003840141 | Darcy Schroer | Physician Assistant | 653 Camino De Los Mares Ste 109, San Clemente, CA 92673-2808 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
Please comment or provide details below to improve the information on KELLY CATHLEEN FEE.
| 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.