CARMEN KEALLY (NPI# 1881049492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881049492 |
| Entity Type | Individual |
| Full Name | CARMEN KEALLY |
| Practice Address |
12602 9th St Garden Grove CA 92840 |
| Practice Telephone | 7145345965 |
| Mailing Telephone | 7145345965 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
806168 | CA | Dietary & Nutritional Service Providers |
| Street Address |
12602 9TH ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| 1871878843 | Thu Anh Do | Pharmacist | 12002 Harbor Blvd., Garden Grove, CA 92840 | 2011-10-20 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152270 | Nicole Freche | Dietitian, Registered | 210 S Palisade Dr Ste 200, Santa Maria, CA 93454-8900 | 2020-10-22 |
| 1861053134 | Diana C Andrew | Dietitian, Registered | 765 N Main St Ste 130, Corona, CA 92880-1440 | 2019-06-26 |
| 1245712272 | Monica M Lowe and Associates, LLC | Dietitian, Registered | 530 W Ojai Ave Ste 204, Ojai, CA 93023-2472 | 2018-09-06 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1457873465 | Carol Faye Kane | Dietitian, Registered | 2936 Robinson Creek Ln, Elk Grove, CA 95758-3620 | 2017-07-11 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1700320439 | Julie Feldman | Dietitian, Registered | 2824 May Ave, Redondo Beach, CA 90278-1533 | 2016-12-14 |
| 1588011274 | Wisdom Foods Inc | Dietitian, Registered | 16987 Algonquin Street Suite L, Huntington Beach, CA 92649 | 2016-05-23 |
| 1689029878 | Andrew Woodward | Dietitian, Registered | 8455 Lodgepole Ln, Riverside, CA 92508-7105 | 2016-04-26 |
| 1225490691 | Tamara Nijmeh | Dietitian, Registered | 1150 S Bascom Ave Ste 26, San Jose, CA 95128-3509 | 2016-03-24 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on CARMEN KEALLY.
| 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.