Kelly Clark Broderick (NPI# 1609821891, PAC ID# 4385717008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1609821891 |
| PAC ID by PECOS | 4385717008 |
| Professional Enrollment ID | I20080714000398 |
| Full Name | Kelly Clark Broderick |
| Organization Legal Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| Address |
1501 Trousdale Dr Burlingame CA 94010-4506 |
| Phone Number | 6506965515 |
| Gender | F |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0244144228 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050007 | PENINSULA MEDICAL CENTER |
| 050113 | SAN MATEO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 6506965515 | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 6506965400 | SUTTER BAY MEDICAL FOUNDATION |
| 100 S San Mateo Dr, San Mateo, CA 94401-3805 | 6506964550 | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| 100 S San Mateo Dr, San Mateo, CA 94401-3805 | 6506965400 | SUTTER BAY MEDICAL FOUNDATION |
| 222 W 39th Ave, San Mateo, CA 94403-4364 | COUNTY OF SAN MATEO |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_405_overall | Appropriate Follow-up Imaging for Incidental Abdominal Lesions (100%: worst, 0% best) | 71% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deddeh Monique Ballah | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 600 Marine Blvd, Moss Beach, CA 94038-9641 |
| Neil Hemant Thakur | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Dennis S Orwig | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 180 Rowland Way, Novato, CA 94945-5009 |
| Avanti Ambekar | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 935 El Camino Real, Suite 101, South San Francisco, CA 94080-3203 |
| Kelly R. Lindauer | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 23004 Whipsering Woods, Golden, CO 80401-8038 |
| Edward L Baker | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3555 Cesar Chavez, San Francisco, CA 94110-4403 |
| Jana M Crain | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 863 Corriente Point Dr, Redwood City, CA 94065-1284 |
| Betsy A Holland | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 1260 S Eliseo Dr, Suite 101, Greenbrae, CA 94904-2009 |
| Harriet B Borofsky | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3700 California St, San Francisco, CA 94118-1618 |
| Clay Napper | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 3700 California St, San Francisco, CA 94118-1618 |
| Street Address |
1501 TROUSDALE DR |
| City | BURLINGAME |
| State | CA |
| Zip | 94010-4506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward S Hahm | Physician Assistant | Sutter Bay Medical Foundation | 1501 Trousdale Dr, Burlingame, CA 94010-4506 |
| Sukhjit S Takhar | Emergency Medicine | Mills-peninsula Emergency Medical Associates, Inc | 1501 Trousdale Dr, Burlingame, CA 94010-4506 |
| Evelyn Khoo | Family Medicine | Sutter Bay Medical Foundation | 1501 Trousdale Dr, Burlingame, CA 94010-4506 |
| Jane I Huang | Hospitalist | Peninsula Hospitalist Associates Inc | 1501 Trousdale Dr, Burlingame, CA 94010-4506 |
| Richard C Liu | Hospitalist | Peninsula Hospitalist Associates Inc | 1501 Trousdale Dr, Burlingame, CA 94010-4506 |
| Dirk Stephen Baumann | Vascular Surgery | Sutter Bay Medical Foundation | 1501 Trousdale Dr, Burlingame, CA 94010-4506 |
| Tyken C Hsieh | Anesthesiology | Anesthesia Care Associates Medical Group, Inc | 1501 Trousdale Dr, Burlingame, CA 94010-4506 |
| Megan Kathryn Palmisano | Internal Medicine | Peninsula Hospitalist Associates Inc | 1501 Trousdale Dr, Burlingame, CA 94010-4506 |
| Sami H Bogale | Hospitalist | Peninsula Hospitalist Associates Inc | 1501 Trousdale Dr, Burlingame, CA 94010-4506 |
| David Ellison | Otolaryngology | Sutter Bay Medical Foundation | 1501 Trousdale Dr, Burlingame, CA 94010-4506 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hayward C Maben Iii | Anesthesiology | Anesthesia Care Consultants Inc | 1849 Bayshore Hwy, Suite 3, Burlingame, CA 94010-1215 |
| Kathleen L Mcginn | Anesthesiology | Anesthesia Care Consultants Inc | 1849 Bayshore Hwy, Suite 3, Burlingame, CA 94010-1215 |
| Cindy Qian Yi Zhang | Physical Therapy | 1799 Old Bayshore Hwy, Suite 118, Burlingame, CA 94010-1328 | |
| Chin-po P Yang | Psychiatry | 840 Hinckley Rd, Suite 110, Burlingame, CA 94010-1500 | |
| David H Silverman | Psychologist, Clinical | 1601 Bayshore Hwy, Suite 154, Burlingame, CA 94010-1506 | |
| Richard J Levy | Psychiatry | 840 Hinckley Rd, Suite 148, Burlingame, CA 94010-1517 | |
| Sharon Chow | Physical Therapy | More Physical Therapy, Inc. | 1633 Bayshore Hwy, Suite 145, Burlingame, CA 94010-1530 |
| Steven T Karstetter | Physical Therapy | More Physical Therapy, Inc. | 1633 Bayshore Hwy 145, Burlingame, CA 94010-1530 |
| Zaldy B Dela Cuesta | Physical Therapy | More Physical Therapy, Inc. | 1633 Bayshore Hwy, Suite 145, Burlingame, CA 94010-1530 |
| Christopher Kuhn | Physical Therapy | More Physical Therapy, Inc. | 1633 Bayshore Hwy, Suite 145, Burlingame, CA 94010-1530 |
| Find all physicians in zip 94010 | |||
| City | BURLINGAME |
| Zip Code | 94010 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BURLINGAME + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kelly Clark Broderick.
| 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.