KELLY PARKS (NPI# 1962854471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962854471 |
| Entity Type | Individual |
| Full Name | KELLY PARKS |
| Credential | DPM |
| Practice Address |
795 E 2nd St Ste 7 Pomona CA 91766-2007 |
| Mailing Address |
7903 Elm Ave Apt 44 Rancho Cucamonga CA 91730-6869 |
| Practice Telephone | 9097063900 |
| Mailing Telephone | 9099101989 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5531 | CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184746026 | Kelly Potter Parks | Physician Assistant | 121 S Front St, Seaford, DE 19973-3511 | 2007-04-04 |
| 1003462615 | Kelly Marie Parks | Nurse Practitioner | 226 E Perkins Ave, Sandusky, OH 44870-4905 | 2019-08-11 |
| Street Address |
795 E 2ND ST STE 7 |
| City | POMONA |
| State | CA |
| Zip Code | 91766-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
| 1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
| Find all providers in zip 91766 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355000 | Jeffrey Robert Horowitz | Podiatrist | 11 Medical Park Dr, Ste 206, Pomona, NY 10970-3559 | 2005-06-10 |
| 1598258022 | Pedro Aldape Esquivel | Podiatrist | 309 E 2nd St, Pomona, CA 91766-1854 | 2018-06-09 |
| 1538567003 | Terry Robertson | Podiatrist | 978 Route 45, Ste 109, Pomona, NY 10970-3512 | 2014-12-15 |
| 1164739637 | Moellmer, Inc | Podiatrist | 1212 N Park Ave, Pomona, CA 91768-3029 | 2010-09-07 |
| 1548572381 | Francis Lok Shan Chan | Podiatrist | 795 E 2nd St, Suite 7, Pomona, CA 91766-2007 | 2010-07-09 |
| 1649424482 | Jacqueline B Truong | Podiatrist | 795 E 2nd St, Suite 7, Pomona, CA 91766-2007 | 2008-11-06 |
| 1528189503 | Palisades Podiatry Associates LLP | Podiatrist | 11 Medical Park Drive, Suite 206, Pomona, NY 10970 | 2007-04-03 |
| 1215945647 | Brian Frederick O'neill | Podiatrist | 1212 N Park Ave, Pomona, CA 91768-3029 | 2006-08-03 |
| 1518972215 | Pomona Valley Podiatry Group Inc | Podiatrist | 1212 N Park Ave, Pomona, CA 91768-3029 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
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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.