Individual provider Active NPI

Kellie Marie Morris, DO

  • Anesthesiology Physician
  • Laguna Niguel, CA
National Provider Identifier
1114395605
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A14925 Issued in CA
Practice address
27882 Forbes Rd Ste 203
Laguna Niguel, CA 92677-1267
Phone
(949) 347-2400
Fax
(949) 347-2424
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A14925 CA Primary

Addresses

Primary practice location

27882 Forbes Rd Ste 203
Laguna Niguel, CA 92677-1267

Mailing address

PO Box 25033
Santa Ana, CA 92799-5033
Phone (714) 347-1000

Other names 1

  • Kellie Marie Culver Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200626000924 CA Practitioner - Anesthesiology 1355675802 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corona Anesthesia Group IncGroup PAC ID 7416212576, 27 clinicians

Practice addresses (Care Compare)

800 S Main St
Corona, CA 92882-3420
Phone (951) 737-4343

Hospital & facility affiliations

  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14925CAMDOptometrist
20A14925CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Anesthesia Partners Inc Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Jul 1, 2024 Accepting new patients
Corona Anesthesia Group, Inc. Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Uhs Corona Inc Past Accepting new patients
San Dieguito Anesthesiology Medical Group, Inc. Anesthesiology Past Accepting new patients
RMC Surgery Center, LLC Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

7160 Brockton Ave
Fl 2
Riverside, CA 92506
Phone (951) 782-3837

21634 Retreat Pkwy
Temescal Valley, CA 92883
Phone (951) 782-5157

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1114395605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25033",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927995033",
            "telephone_number": "714-347-1000",
            "fax_number": "714-347-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27882 FORBES RD STE 203",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771267",
            "telephone_number": "949-347-2400",
            "fax_number": "949-347-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A14925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "CULVER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.