Youssry Joe Y Kelada, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A370260 Issued in CA

Legal business name

YOUSSRY JOE Y KELADA, MD

Practice address

406 Sunrise Ave
#250
Roseville, CA 95661-4106

Phone

(916) 786-4700

Fax

(916) 786-3912

NPI assigned

Oct 2, 2008

Reactivated

Oct 23, 2009

Last updated

Oct 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Youssry J Kelada, MDNPI 1316919442

Title

Doctor

Phone

(916) 786-4700

Specialties & licenses 1

Addresses

Other names 1

• ROSEVILLE FAMILY MEDICAL CARE Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Youssry J Kelada, M.D.

  • Family Medicine Physician
  • Roseville, CA
  • NPI 1316919442
  NPD (past) Authorized official

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1255582706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SUNRISE AVE",
            "address_2": "#250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614106",
            "telephone_number": "916-786-4700",
            "fax_number": "916-786-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SUNRISE AVE",
            "address_2": "#250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614106",
            "telephone_number": "916-786-4700",
            "fax_number": "916-786-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUSSRY JOE Y KELADA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2009-10-23",
        "deactivation_date": "2009-08-05",
        "reactivation_date": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "KELADA",
        "authorized_official_first_name": "YOUSSRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "916-786-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A370260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSEVILLE FAMILY MEDICAL CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Young
• Rei Jackson Young, D.O.
• Roselynn G Young, AU.D
• Mitchel J Youngblood, MD
• Marian Youssif, MA, AMFT, APCC
• Cindy Qing Qing Yu, M.D.
• Jasmine Nicole Yu
• Jonathan Yu, MD, MBA
• Roland Yu, MD
• Samuel Yu, RN

• Family Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.