Kristy L Tolly (NPI# 1578591426, PAC ID# 4880996891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1578591426 |
| PAC ID by PECOS | 4880996891 |
| Professional Enrollment ID | I20160107003090 |
| Full Name | Kristy L Tolly |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
19582 Beach Blvd Suite 360 Huntington Beach CA 92648-2996 |
| Phone Number | 7144778001 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1026 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19582 Beach Blvd, Suite 360, Huntington Beach, CA 92648-2996 | 7144778001 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
19582 BEACH BLVD SUITE 360 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip | 92648-2996 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Stuart Illeck | Obstetrics/gynecology | 19582 Beach Blvd, Suite 202, Huntington Beach, CA 92648-5950 | |
| Christine Thai | Rheumatology | Newport Huntington Medical Group | 19582 Beach Blvd, Huntington Beach, CA 92648-2996 |
| Amber L Gerdine | Physical Therapy | Huntington Beach Physical Therapy Specialist A Professional Corp | 19582 Beach Blvd, Suite 130, Huntington Beach, CA 92648-2996 |
| Jennifer M-j Overstreet | Diagnostic Radiology | Newport Harbor Radiology Associates Medical Group, Inc | 19582 Beach Blvd, Suite 160, Huntington Beach, CA 92648-2996 |
| Shaunak Subhash Desai | Orthopedic Surgery | Orthopedic Institute of Newport Beach Limited Partnership | 19582 Beach Blvd, Suite 306, Huntington Beach, CA 92648-5923 |
| Michael Z Aquino | Physical Therapy | Huntington Beach Physical Therapy Specialist A Professional Corp | 19582 Beach Blvd, Suite 130, Huntington Beach, CA 92648-2996 |
| Michael L Gordon | Orthopedic Surgery | Orthopedic Institute of Newport Beach Limited Partnership | 19582 Beach Blvd, Suite 306, Huntington Beach, CA 92648-5923 |
| Son T Nguyen | Internal Medicine | Hoag Clinic | 19582 Beach Blvd, Suite 250, Huntington Beach, CA 92648-5977 |
| Nishan Md Tchekmedyian | Hematology/oncology | Pacific Shores Medical Group, Inc | 19582 Beach Blvd, Suite 212, Huntington Beach, CA 92648-5923 |
| Marlowe D Ross | Pulmonary Disease | Newport Huntington Medical Group | 19582 Beach Blvd, Huntington Beach, CA 92648-2996 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine K Takaki | Optometry | 5931 Bellfield Ln, Huntington Beach, CA 92648-1006 | |
| David B Richardson | Family Medicine | Southern California Permanente Medical Group | 18081 Beach Blvd, Huntington Beach, CA 92648-1304 |
| Teresa D Doan | Internal Medicine | Southern California Permanente Medical Group | 18081 Beach Blvd, Huntington Beach, CA 92648-1304 |
| Sherri Lee Mokuau | Family Medicine | Southern California Permanente Medical Group | 18081 Beach Blvd, Huntington Beach, CA 92648-1304 |
| Hemesh Patel | Family Medicine | Southern California Permanente Medical Group | 18081 Beach Blvd, Huntington Beach, CA 92648-1304 |
| Anh Q Do | Family Medicine | Southern California Permanente Medical Group | 18081 Beach Blvd, Huntington Beach, CA 92648-1304 |
| Albert C Tran | Family Medicine | Southern California Permanente Medical Group | 18081 Beach Blvd, Huntington Beach, CA 92648-1304 |
| Vicki S Ewing | Family Medicine | Southern California Permanente Medical Group | 18081 Beach Blvd, Huntington Beach, CA 92648-1304 |
| Won C Choe | Family Medicine | Southern California Permanente Medical Group | 18081 Beach Blvd, Huntington Beach, CA 92648-1304 |
| Marcia C Hugen | Family Medicine | Southern California Permanente Medical Group | 18081 Beach Blvd, Huntington Beach, CA 92648-1304 |
| Find all physicians in zip 92648 | |||
| City | HUNTINGTON BEACH |
| Zip Code | 92648 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | HUNTINGTON BEACH + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Kristy L Tolly.
| 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.