Kelly J. Piazza, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53315 Issued in CA

Practice address

1510 E Main St Ste 101
Santa Maria, CA 93454-4826

Phone

(805) 928-0610

NPI assigned

Sep 18, 2012

Last updated

Mar 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Alex Harrison, M.D., Inc.

  • Cardiovascular Disease Physician
  • Santa Maria, CA
  • NPI 1497995401
  Medicare reassignment
• Okerblom Voegele and Hole MD a Professional Corporation

  • Family Medicine Physician
  • Santa Maria, CA
  • NPI 1477644797
  Medicare reassignment
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1043560915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E MAIN ST STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544826",
            "telephone_number": "805-928-0610",
            "fax_number": "805-928-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E MAIN ST STE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544826",
            "telephone_number": "805-928-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAZZA",
        "first_name": "KELLY",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minhha Thi Pham, RPH
• Regina Phelps, R.H.S.
• Katlin Phillips
• Sheila Duyka Phipps, R.PH.
• Michelle Phu
• Scott Patrick Piazza
• Pierce Chiropractic & Sports Injury Center
• Pierce Chiropractic& Sports Injury Center P C
• Beau Jonathan Pierce, D.C.
• Kathryn A Pierce, M.P.T.

• Physician Assistant in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.