Individual provider Active NPI

Kelly Dewitt, MD

  • Radiation Oncology Physician
  • La Mesa, CA
National Provider Identifier
1184668741
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A74873 Issued in CA
Practice address
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Phone
(619) 740-4500
Fax
(619) 740-8499
NPI assigned
Jun 15, 2006
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A74873 CA Primary

Addresses

Primary practice location

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Mailing address

PO Box 509015
Dept 338
San Diego, CA 92150-9015

Other practice location 1

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-5010

Other practice location 2

769 Medical Center Ct
Chula Vista, CA 91911-6602
Phone (619) 502-5851

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
I20040907000776 CA Practitioner - Radiation Oncology 0648246157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
X-Ray Medical Group Radiation Oncology IncGroup PAC ID 2668443326, 8 clinicians

Practice addresses (Care Compare)

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 644-4512

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74873CAMDPharmacist
A74873CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Medical Group Radiation Oncology Inc Specialist CurrentSince Sep 1, 2004 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Infusion Solutions of California, Inc. Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients

Locations

769 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 502-3664

555 E Valley Pkwy
Escondido, CA 92025
Phone (760) 739-3000

9834 Genesee Ave
La Jolla, CA 92037
Phone (858) 452-5020

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

5725 Kearny Villa Rd
Ste I
San Diego, CA 92123

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kelly.dewitt@sharp.direct.varian.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1184668741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509015",
            "address_2": "DEPT 338",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921509015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-740-4500",
            "fax_number": "619-740-8499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Frost St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232701",
            "country_code": "US",
            "telephone_number": "858-939-5010",
            "fax_number": "858-939-5021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "769 Medical Center Ct",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919116602",
            "country_code": "US",
            "telephone_number": "619-502-5851",
            "fax_number": "619-502-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A74873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.