Julie M Kelly (NPI# 1982868428, PAC ID# 9931355708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1982868428 |
| PAC ID by PECOS | 9931355708 |
| Professional Enrollment ID | I20120809000776 |
| Full Name | Julie M Kelly |
| Organization Legal Name | CENTRAL COAST URGENT CARE INC |
| Address |
783 Quintana Rd Suite 1 Morro Bay CA 93442-1968 |
| Phone Number | 8057710108 |
| Gender | F |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2264561125 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 783 Quintana Rd, Suite 1, Morro Bay, CA 93442-1968 | 8057710108 | CENTRAL COAST URGENT CARE INC |
| 783 Quintana Rd, Morro Bay, CA 93442-1968 | 8057710108 | CENTRAL COAST URGENT CARE INC |
| Organization Legal Name | CENTRAL COAST URGENT CARE INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendra Joelle Weichbrodt | Nurse Practitioner | Central Coast Urgent Care Inc | 783 Quintana Rd, Suite 1, Morro Bay, CA 93442-1968 |
| Elizabeth Kay Keller | Nurse Practitioner | Central Coast Urgent Care Inc | 9700 El Camino Real, Suite 100, Atascadero, CA 93422-5571 |
| Eric N Sorensen | Family Medicine | Central Coast Urgent Care Inc | 1028 N Douty St, Ofc 1, Hanford, CA 93230-3723 |
| Cristal Grijalva | Nurse Practitioner | Central Coast Urgent Care Inc | 1028 N Douty St, Ofc 1, Hanford, CA 93230-3723 |
| Annette M Ewing | Nurse Practitioner | Central Coast Urgent Care Inc | 9700 El Camino Real, Suite 100, Atascadero, CA 93422-5571 |
| Michael E Blackwell | Physician Assistant | Central Coast Urgent Care Inc | 9700 El Camino Real, Suite 100, Atascadero, CA 93422-5571 |
| Lisa M Madala | Nurse Practitioner | Central Coast Urgent Care Inc | 2 James Way, Suite 214, Pismo Beach, CA 93449-4977 |
| Knute E Sorensen | Physician Assistant | Central Coast Urgent Care Inc | 1028 N Douty St, Ofc 1, Hanford, CA 93230-3723 |
| Judith L Ferguson | Nurse Practitioner | Central Coast Urgent Care Inc | 9700 El Camino Real, Suite 100, Atascadero, CA 93422-5571 |
| Karen A Chestnut | Nurse Practitioner | Central Coast Urgent Care Inc | 2 James Way, Suite 213, Pismo Beach, CA 93449-4973 |
| Street Address |
783 QUINTANA RD SUITE 1 |
| City | MORRO BAY |
| State | CA |
| Zip | 93442-1968 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendra Joelle Weichbrodt | Nurse Practitioner | Central Coast Urgent Care Inc | 783 Quintana Rd, Suite 1, Morro Bay, CA 93442-1968 |
| Octavio T Penaloza | Physician Assistant | Central Coast Urgent Care Inc | 783 Quintana Rd, Morro Bay, CA 93442-1968 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Ward | Family Medicine | 355 Las Vegas St, Morro Bay, CA 93442-1548 | |
| Robert J Becker | Chiropractic | 580 Harbor St, Morro Bay, CA 93442-1904 | |
| Tiffany Smart | Optometry | 590 Harbor St, Morro Bay, CA 93442-1904 | |
| Michael Williams | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 890 Shasta Ave, Morro Bay, CA 93442-1933 |
| Nicole Posnick | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 890 Shasta Ave, Morro Bay, CA 93442-1933 |
| Brendan Cacciola | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 890 Shasta Ave, Morro Bay, CA 93442-1933 |
| Eric Balash | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 890 Shasta Ave, Morro Bay, CA 93442-1933 |
| David A Pastrana | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 890 Shasta Ave, Morro Bay, CA 93442-1933 |
| Wade Nolte | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 890 Shasta Ave, Morro Bay, CA 93442-1933 |
| Theresa Mary Ferrante | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 890 Shasta Ave, Morro Bay, CA 93442-1933 |
| Find all physicians in zip 93442 | |||
| City | MORRO BAY |
| Zip Code | 93442 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MORRO BAY + PHYSICIAN ASSISTANT |
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| 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.