William M. Kelly M.D., Inc.

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

A34125 Issued in CA

Legal business name

WILLIAM M. KELLY M.D., INC.

Doing business as

HEALTH SCAN IMAGING

Practice address

8710 Monroe Court
Suite 100
Rancho Cucamonga, CA 91730-4883

Phone

(909) 581-6480

Fax

(909) 581-6481

NPI assigned

Nov 20, 2006

Organization subpart

Yes

Parent organization

WILLIAM M. KELLY M.D., INC.As reported in NPPES

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

Authorized official

Name

Ms. Melonie Storer

Title

Credentialing Administrator

Phone

(951) 302-2223

Specialties & licenses 2

Addresses

Other names 1

• HEALTH SCAN IMAGING Doing business as

Part of

William M Kelly MD Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• William M Kelly M.D., Inc

  • Specialist
  • Palm Desert, CA
  • NPI 1316125131
  NPPES parent name

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1235203316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44489 TOWN CENTER WAY",
            "address_2": "STE. D",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602789",
            "telephone_number": "760-776-9777",
            "fax_number": "760-776-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 MONROE COURT",
            "address_2": "SUITE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304883",
            "telephone_number": "909-581-6480",
            "fax_number": "909-581-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M. KELLY M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM M. KELLY M.D., INC.",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "STORER",
        "authorized_official_first_name": "MELONIE",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "951-302-2223",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "CA",
            "license": "A34125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH SCAN IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Elizabeth Widener
• Erika Kristen Widera, PSY.D.
• Brianna Wieberg
• Isaiah Wiebold
• Jade Wiley
• Antonette Williams, B.A. SOCIAL SCIENCE
• Ashley Keyana Williams
• Ashley Michelle Williams, P.A.-C
• Chermel Williams, LMFT
• Cydne Williams

• Magnetic Resonance Imaging Radiologic Technologist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Magnetic Resonance Imaging Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.