Martha Kelly-Luken

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

374602460 Issued in CA

Practice address

7108 Werner St
San Diego, CA 92122-2832

Phone

(858) 518-8667

NPI assigned

Sep 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1255732178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 WERNER ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222832",
            "telephone_number": "858-518-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 WERNER ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222832",
            "telephone_number": "858-518-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-LUKEN",
        "first_name": "MARTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "374602460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE FACILITY FOR THE ELDERLY",
            "identifier": "310400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kyelunye Kelly-Adegbola
• Adrienne M. Kelly, MD
• Amanda Marie Kelly
• Barbara H. Kelly, PHD
• Brian Edward Kelly, MSW
• Brianna McNeal Kelly

• Assisted Living Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.