Individual provider Active NPI

Sarah M Kelly, CNM

  • Advanced Practice Midwife
  • Santa Maria, CA
National Provider Identifier
1265821854
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
235700 Issued in CA
Practice address
1418 E Main St Ste 210
Santa Maria, CA 93454-4836
Phone
(805) 928-3678
Fax
(805) 928-6408
NPI assigned
Jan 20, 2015
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 235700 CA Primary

Addresses

Primary practice location

1418 E Main St Ste 210
Santa Maria, CA 93454-4836

Mailing address

2050 S Blosser Rd
Santa Maria, CA 93458-7310
Phone (805) 361-8030

Other practice location 1

2117 Bedrock Way
Antioch, CA 94509-6261
Phone (925) 642-5327

Other practice location 2

35 Casa St Ste 220
San Luis Obispo, CA 93405-1890
Phone (805) 595-1808

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161201002102 CA Practitioner - Certified Nurse Midwife (CNM) 1254611536 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Oct 19, 2016 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Mar 4, 2024 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Aug 10, 2019 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 19, 2016 Accepting new patients
First Choice Physician Partners CurrentSince May 12, 2020 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Mar 4, 2024 Accepting new patients
First Choice Physician Partners CurrentSince May 12, 2020 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

2500 Merced St
San Leandro, CA 94577
Phone (510) 454-1000

35 Casa St
Ste 220
San Luis Obispo, CA 93405
Phone (805) 595-1808

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1418 E Main St
Ste 210
Santa Maria, CA 93454
Phone (805) 928-3678

2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014

2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: sarah.kelly.1@17363.direct.athenahealth.com
  • Direct secure messaging: sarah.kelly@caa011.digichart.direct-ci.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1265821854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S BLOSSER RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587310",
            "telephone_number": "805-361-8030",
            "fax_number": "805-361-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 E MAIN ST STE 210",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544836",
            "telephone_number": "805-928-3678",
            "fax_number": "805-928-6408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2117 Bedrock Way",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096261",
            "country_code": "US",
            "telephone_number": "925-642-5327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Casa St Ste 220",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934051890",
            "country_code": "US",
            "telephone_number": "805-595-1808",
            "fax_number": "805-595-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "235700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.