Active NPI
Flora Kelly
- Assisted Living Facility
- San Diego, CA
National Provider Identifier
1134535719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Practice address
- 6325 Dennison St
San Diego, CA 92122-2401 - Phone
- (858) 583-6431
- Fax
- (858) 587-2802
- NPI assigned
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
6325 Dennison St
San Diego, CA 92122-2401
Mailing address
6311 Dennison St
San Diego, CA 92122-2401
Phone (858) 583-6431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KDPK IV, Inc. | Assisted Living Facility | Current | Accepting new patients |
| Kdpkiii.Inc | Assisted Living Facility | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Assisted Living Facility
- San Diego, CA
- NPI 1740997097
-
- Assisted Living Facility (Behavioral Disturbances)
- San Diego, CA
- NPI 1083364004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1134535719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6311 DENNISON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222401",
"telephone_number": "858-583-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 DENNISON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222401",
"telephone_number": "858-583-6431",
"fax_number": "858-587-2802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "FLORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.