Kelli a. Fox

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

KELLI A. FOX

Doing business as

Golden State Hospice

Practice address

1230 W Balboa Blvd
#E
Newport Beach, CA 92661-1061

Phone

(801) 451-9020

Fax

(866) 299-5156

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kelli Ann Fox

Title

Administrator

Phone

(801) 451-9020

Specialties & licenses 1

Addresses

Other names 1

• Golden State Hospice Doing business as

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1124205067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W BALBOA BLVD",
            "address_2": "#E",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926611061",
            "telephone_number": "801-451-9020",
            "fax_number": "866-299-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W BALBOA BLVD",
            "address_2": "#E",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926611061",
            "telephone_number": "801-451-9020",
            "fax_number": "866-299-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLI A. FOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-451-9020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden State Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith H Tam DDS Inc (Lake Forest Pediatric Dentistry)
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• Selah Kelley
• Timothy Kelley, MD
• Kelli Junker DDS Inc
• Kelli Junker DDS Inc
• Sandra Kellum, M.D.
• Kelly Kazmierski, PHD, a Psychology Corporation
• Diane G Kelly, LCSW MSW

• Community Based Hospice Care Agency in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.