DR. KELLY VASANT SIDHPURA (NPI# 1841599933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841599933 |
| Entity Type | Individual |
| Full Name | DR. KELLY VASANT SIDHPURA |
| Other Name | KELLY VASANT |
| Credential | M.D. |
| Practice Address |
9985 Sierra Ave Fl Mob22 Fontana CA 92335 |
| Mailing Address |
Mattel Children's Hospital Ucla 10833 Leconte Avenue, 12-494 Mdcc Los Angeles CA 90095-0001 |
| Practice Telephone | 9094275311 |
| Mailing Telephone | 3108256752 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A125057 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Mattel Children's Hospital Ucla, 10833 Leconte Avenue, 12-494 Mdcc, Los Angeles, CA 900950001 | 3108256752 |
| Street Address |
9985 SIERRA AVE FL MOB22 |
| City | FONTANA |
| State | CA |
| Zip Code | 92335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598025058 | Kimberly T. Ho | Pediatrics | 16465 Sierra Lakes Pkwy Ste 250, Fontana, CA 92336-1262 | 2012-05-17 |
| 1457544454 | Sierra Pacific Pediatric Associates | Pediatrics | 16465 Sierra Lakes Pkwy Ste 245, Fontana, CA 92336-1242 | 2007-08-22 |
| 1578613949 | Eduardo Santos Uy | Pediatrics | 9717 Sierra Ave, Fontana, CA 92335-6716 | 2007-01-10 |
| 1255429585 | Marguerite Rindge Cox | Pediatrics | 17577 Arrow Blvd., Fontana, CA 92335 | 2006-10-11 |
| 1104939172 | Swapna S. Kudtarkar | Pediatrics | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2006-08-16 |
| 1295781946 | Leticia M. Cadiz | Pediatrics | 16655 Foothill Blvd, Suite 100, Fontana, CA 92335-8416 | 2006-05-25 |
| 1831195882 | Richard C Chang | Pediatrics | 16465 Sierra Parkway, # 245, Fontana, CA 92236 | 2005-06-23 |
| 1790201283 | Adriana Cornejo | Pediatrics | 16465 Sierra Lakes Pkwy, Fontana, CA 92336-1242 | 2017-08-17 |
| 1265886196 | Felipe Orlando Camero Amortegui | Pediatrics | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2016-04-18 |
| 1144682345 | Emmeline See-wai Wong Qin | Pediatrics | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2016-03-25 |
| Find all providers in FONTANA | ||||
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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.