Individual provider Active NPI

Valerie Ann Kelly, PSYD RN

  • Pediatric Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1184782591
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5384 Issued in CA
Practice address
24520 Hawthorne Blvd
Suite 220
Torrance, CA 90505-6800
Phone
(310) 521-9745
Fax
(310) 521-9745
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY17621 CA
Registered Nurse 163W00000X 318581 CA
Pediatric Nurse Practitioner 363LP0200X 5384 CA Primary

Addresses

Primary practice location

24520 Hawthorne Blvd
Suite 220
Torrance, CA 90505-6800

Mailing address

2634 Palos Verdes Dr North
Rolling Hills Estates, CA 90274
Phone (310) 521-0016

Other names 1

  • Valerie Ann Vinovich Former name

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
PSY17621CAMDClinical Psychologist
318581CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1184782591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 PALOS VERDES DR NORTH",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "310-521-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD",
            "address_2": "SUITE 220",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056800",
            "telephone_number": "310-521-9745",
            "fax_number": "310-521-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "VALERIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17621",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "318581",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "5384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "VINOVICH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.