Jason P Kellogg (NPI# 1952331530, PAC ID# 5597789123) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1952331530 |
| PAC ID by PECOS | 5597789123 |
| Professional Enrollment ID | I20060120000873 |
| Full Name | Jason P Kellogg |
| Organization Legal Name | PROGENY PSYCHIATRIC CLINIC A MEDICAL CORPORATION |
| Address |
17782 Cowan Suite A Irvine CA 92614-6041 |
| Phone Number | 9497227118 |
| Gender | M |
| Credential | MD |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4688904592 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050543 | COLLEGE HOSPITAL COSTA MESA |
| Address | Phone | Organization |
|---|---|---|
| 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 | 5592378377 | JASON KELLOGG MD INC |
| 17782 Cowan, Suite A, Irvine, CA 92614-6041 | 9497227118 | PROGENY PSYCHIATRIC CLINIC A MEDICAL CORPORATION |
| 17782 Cowan, Suite A, Irvine, CA 92614-6041 | JASON KELLOGG MD INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PROGENY PSYCHIATRIC CLINIC A MEDICAL CORPORATION |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda H Trinh | Nurse Practitioner | Progeny Psychiatric Clinic A Medical Corporation | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Phuong Tran | Nurse Practitioner | Progeny Psychiatric Clinic A Medical Corporation | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Parvin Afshar | Psychiatry | Progeny Psychiatric Clinic A Medical Corporation | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Farhad G Nikoo | Nurse Practitioner | Progeny Psychiatric Clinic A Medical Corporation | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Clint H Salo | Psychiatry | Progeny Psychiatric Clinic A Medical Corporation | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Street Address |
17782 COWAN SUITE A |
| City | IRVINE |
| State | CA |
| Zip | 92614-6041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda H Trinh | Nurse Practitioner | Progeny Psychiatric Clinic A Medical Corporation | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Cindy Capretz | Clinical Social Worker | 17782 Cowan, Suite A, Irvine, CA 92614-6041 | |
| Phuong Tran | Nurse Practitioner | Progeny Psychiatric Clinic A Medical Corporation | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Dylan Thomas Guiney | Nurse Practitioner | Jason Kellogg Md Inc | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Parvin Afshar | Psychiatry | Progeny Psychiatric Clinic A Medical Corporation | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Douglas D Citro | Psychologist, Clinical | 17782 Cowan, Suite A, Irvine, CA 92614-6041 | |
| Farhad G Nikoo | Nurse Practitioner | Progeny Psychiatric Clinic A Medical Corporation | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Clint H Salo | Psychiatry | Progeny Psychiatric Clinic A Medical Corporation | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Margaret Lee Berryman-tedman | Clinical Psychologist | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Bocchino | Chiropractic | 17897 Macarthur Blvd, Suite 101, Irvine, CA 92614-0532 | |
| Andrea Nguyen | Physician Assistant | Tien Q Nguyen Inc | 17305 Von Karman Ave, Suite 107, Irvine, CA 92614-0903 |
| Tien Q Nguyen | Dermatology | Tien Q Nguyen Inc | 17305 Von Karman Ave, Suite 107, Irvine, CA 92614-0903 |
| Darin P Kleinsmith | Physician Assistant | Tien Q Nguyen Inc | 17305 Von Karman Ave, Irvine, CA 92614-0903 |
| Kellie L Hoy | Physician Assistant | Tien Q Nguyen Inc | 17305 Von Karman Ave, Suite 107, Irvine, CA 92614-0903 |
| Melanie G Murray | Physician Assistant | Tien Q Nguyen Inc | 17305 Von Karman Ave, Suite 107, Irvine, CA 92614-0903 |
| Milomir Milosevich | Physical Therapy | Physica Inc. | 17911 Sky Park Cir L, Irvine, CA 92614-2403 |
| Regina R Chinsio-kwong | Family Practice | St Joseph Heritage Healthcare | 4 Park Plz, Suite 150, Irvine, CA 92614-2525 |
| Bruce B Johnston | Psychologist, Clinical | 17962 Sky Park Cir C, Irvine, CA 92614-4412 | |
| Allison Holtkamp | Psychologist, Clinical | 17744 Sky Park Cir, Suite 285, Irvine, CA 92614-4461 | |
| Find all physicians in zip 92614 | |||
| City | IRVINE |
| Zip Code | 92614 |
| Specialty | PSYCHIATRY |
| City + Specialty | IRVINE + PSYCHIATRY |
Please comment or provide details below to improve the information on Jason P Kellogg.
| 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.