Jennifer Lynn Kelly (NPI# 1164607149, PAC ID# 2365506342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164607149 |
| PAC ID by PECOS | 2365506342 |
| Professional Enrollment ID | I20090206000121 |
| Full Name | Jennifer Lynn Kelly |
| Organization Legal Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Address |
2018 Mission St Santa Cruz CA 95060-5218 |
| Phone Number | 8314657761 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810800661 |
| Number of Group Practice Members | 1116 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050242 | DOMINICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1595 Soquel Dr, Suite 230, Santa Cruz, CA 95065-1721 | 8312263225 | DIGNITY HEALTH MEDICAL FOUNDATION |
| 2018 Mission St, Santa Cruz, CA 95060-5218 | 8314657761 | DIGNITY HEALTH MEDICAL FOUNDATION |
| Organization Legal Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Physicians | 1191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel E Temple | Family Medicine | Dignity Health Medical Foundation | 1779 Dominican Way, Suite B, Santa Cruz, CA 95065-1526 |
| Lei Wang | Rheumatology | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Guillermina Lexie Morales | Obstetrics/gynecology | Dignity Health Medical Foundation | 1321 Cottonwood St, Fl 3, Woodland, CA 95695-5131 |
| Thu Trang Le | Nurse Practitioner | Dignity Health Medical Foundation | 782 E Harding Way, Stockton, CA 95204-6101 |
| Shannon Lyn Manley | Nurse Practitioner | Dignity Health Medical Foundation | 3900 Piedmont Ave, Oakland, CA 94611-5352 |
| Etelberto Guzman | Clinical Social Worker | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Daniel James Greene | Urology | Dignity Health Medical Foundation | 1667 Dominican Way, Suite 234, Santa Cruz, CA 95065-1560 |
| Azadeh Toofaninejad | Cardiovascular Disease (cardiology) | Dignity Health Medical Foundation | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 |
| Kathleen C Hilton | Nurse Practitioner | Dignity Health Medical Foundation | 13350 Big Basin Way, Boulder Creek, CA 95006-9237 |
| Ibrahim W Azer | General Surgery | Dignity Health Medical Foundation | 315 Mercy Ave, Suite 400, Merced, CA 95340-8368 |
| Street Address |
2018 MISSION ST |
| City | SANTA CRUZ |
| State | CA |
| Zip | 95060-5218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hossein Hassani | Family Medicine | Dignity Health Medical Foundation | 2018 Mission St, Santa Cruz, CA 95060-5218 |
| Himabindu Pitta | Hospitalist | Dignity Health Medical Foundation | 2018 Mission St, Santa Cruz, CA 95060-5218 |
| Andrew M Smythe | Family Medicine | Dignity Health Medical Foundation | 2018 Mission St, Santa Cruz, CA 95060-5218 |
| Remy A Paille | Nurse Practitioner | Dignity Health Medical Foundation | 2018 Mission St, Santa Cruz, CA 95060-5218 |
| Darlene A Zanker | Family Medicine | Dignity Health Medical Foundation | 2018 Mission St, Santa Cruz, CA 95060-5218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Smith | Chiropractic | 550 Water St, Suite C, Santa Cruz, CA 95060-0043 | |
| Charie M Evans | Physician Assistant | Sutter Bay Medical Foundation | 2980 El Rancho Dr, Santa Cruz, CA 95060-1103 |
| Jason N Wasche | Family Medicine | Sutter Bay Medical Foundation | 2980 El Rancho Dr, Santa Cruz, CA 95060-1103 |
| Karen E Lynch | Family Practice | Scotts Valley Medical Clinic | 2980 El Rancho Dr, Santa Cruz, CA 95060-1199 |
| Maria Greaves | Family Practice | Scotts Valley Medical Clinic | 2980 El Rancho Dr, Santa Cruz, CA 95060-1199 |
| Warren E Klausner | Osteopathic Manipulative Medicine | 129 Jewell St, Santa Cruz, CA 95060-1717 | |
| Megan T Comparan | Physical Therapy | Premier Sports Medicine and Physical Therapy | 1003 River St, Suite C, Santa Cruz, CA 95060-1754 |
| Eric M Ingram | Physical Therapy | Premier Sports Medicine and Physical Therapy | 1003 River St, Suite C, Santa Cruz, CA 95060-1754 |
| Anna Spix | Physical Therapy | Premier Sports Medicine and Physical Therapy | 1003 River St, Suite C, Santa Cruz, CA 95060-1754 |
| Natalia B Ushak | Physical Therapy | Premier Sports Medicine and Physical Therapy | 1003 River St, Suite C, Santa Cruz, CA 95060-1754 |
| Find all physicians in zip 95060 | |||
| City | SANTA CRUZ |
| Zip Code | 95060 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SANTA CRUZ + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jennifer Lynn Kelly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.