Individual provider Active NPI

Kerry-Ann Alyscia Kelly, MD

  • Obstetrics & Gynecology Physician
  • Pleasanton, CA
National Provider Identifier
1023367141
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A126079 Issued in CA
Practice address
4725 First St Ste 100
Pleasanton, CA 94655
Phone
(925) 734-3333
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 99909 GA
Obstetrics & Gynecology Physician 207V00000X A126079 CA Primary

Addresses

Primary practice location

4725 First St Ste 100
Pleasanton, CA 94655

Mailing address

4725 1St St Ste 100
Pleasanton, CA 94566-7366
Phone (925) 734-3333

Other practice location 1

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

Other practice location 2

2500 Merced St
OB/GYN Department
San Leandro, CA 94577-4201
Phone (510) 454-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160712001530 CA Practitioner - Obstetrics/Gynecology 0941592901 Reassigns benefits to 9 organizations
I20250227002466 GA Practitioner - Obstetrics/Gynecology 0941592901 Reassigns benefits to 2 organizations
I20250721000309 KY Practitioner - Obstetrics/Gynecology 0941592901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, 168 clinicians
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1095 Marshall Way
Suite 201
Placerville, CA 95667-5722
Phone (530) 626-3686

1321 Cottonwood St
FL 3
Woodland, CA 95695-5131
Phone (530) 668-2600

Hospital & facility affiliations

  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254
  • Woodland Memorial Hospital Hospital, Woodland, CA, CCN 050127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A126079CAMDObstetrics & Gynecology Physician
99909GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System Current Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Northside Womens Group LLC Obstetrics & Gynecology CurrentSince Feb 28, 2026 Accepting new patients
Alameda Health System CurrentSince Nov 20, 2016 Accepting new patients
County of Santa Clara CurrentSince Apr 9, 2024 Accepting new patients
Northbay Healthcare Group CurrentSince May 28, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince May 2, 2022 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 1, 2025 Accepting new patients
University Healthcare Alliance Obstetrics & Gynecology CurrentSince Jul 12, 2024 Accepting new patients
County of Santa Clara CurrentSince Apr 9, 2024 Accepting new patients
Northside Womens Group, LLC Obstetrics & Gynecology CurrentSince Feb 28, 2026 Accepting new patients
Alameda Health System CurrentSince Nov 20, 2016 Accepting new patients
County of Santa Clara CurrentSince Apr 9, 2024 Accepting new patients
County of Santa Clara CurrentSince Apr 9, 2024 Accepting new patients
Dignity Health Medical Foundation CurrentSince May 1, 2025 Accepting new patients
Dignity Health Medical Foundation CurrentSince May 1, 2025 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Jan 16, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
County of Santa Clara Obstetrics & Gynecology Current Accepting new patients
Marshall Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Marshall Medical Center Obstetrics & Gynecology CurrentSince Nov 1, 2024 Accepting new patients
Northbay Healthcare Group CurrentSince May 28, 2024 Accepting new patients
Marshall Medical Center Past Accepting new patients
Alameda Health System Past Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations (25 of 32)

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1860 Pennsylvania Ave
Ste 300
Fairfield, CA 94533
Phone (707) 438-2735

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1321 Cottonwood St
Fl 3
Woodland, CA 95695
Phone (530) 668-2600

632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631

Interoperability endpoints

  • Direct secure messaging: kkelly11596@alamedahs.direct-ci.com
  • Direct secure messaging: kkelly10871@santaclaravalley.direct-ci.net

Organizations & group practices 28

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 28

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1023367141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 1ST ST STE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667366",
            "telephone_number": "925-734-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 FIRST ST STE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94655",
            "telephone_number": "925-734-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Northside Forsyth Dr",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417659",
            "country_code": "US",
            "telephone_number": "770-844-3200",
            "fax_number": "770-844-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Merced St",
            "address_2": "OB/GYN Department",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774201",
            "country_code": "US",
            "telephone_number": "510-454-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KERRY-ANN",
        "middle_name": "ALYSCIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "99909",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A126079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.