John Kelada M.D., Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A125118 Issued in CA

Legal business name

JOHN KELADA M.D., INC.

Practice address

1000 Camerado Dr
Cameron Park, CA 95682-8864

Phone

(530) 677-3688

NPI assigned

Jan 18, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Mina Kelada, MDNPI 1861703530

Title

President

Phone

(530) 677-3688

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Kelada, M.D.

  • Nephrology Physician
  • Cameron Park, CA
  • NPI 1861703530

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Hayne Y Khalil Kelada, MD

  • Family Medicine Physician
  • Cameron Park, CA
  • NPI 1417051749
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660435200000",
    "number": "1013425495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956820455",
            "telephone_number": "530-677-3688",
            "fax_number": "530-677-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CAMERADO DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828864",
            "telephone_number": "530-677-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KELADA M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A",
        "authorized_official_last_name": "KELADA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-677-3688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A125118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell F Jacoby, MD
• Nahvid Jafarnejad, DMD
• Miranda Jiminez
• Ying Jin, RPH
• John E. Roe, PH.D., a Professional Corporation
• Robyn Jones, IBCLC
• Donna Rae Jordan, M.D.
• John Kelada, M.D.
• Shane Kelly
• Deanna Kerr, MSW

• Nephrology Physician in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.