Individual provider Active NPI

Kelly Dale Williams, M.D.

  • Obstetrics Physician
  • Torrance, CA
National Provider Identifier
1275795874
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A110923 Issued in CA
Practice address
4201 Torrance Blvd Ste 600
Torrance, CA 90503
Phone
(310) 316-4373
Fax
(310) 316-1291
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 046259 AZ
Obstetrics & Gynecology Physician 207V00000X A110923 CA
Obstetrics Physician 207VX0000X A110923 CA Primary

Addresses

Primary practice location

4201 Torrance Blvd Ste 600
Torrance, CA 90503

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

12462 Putnam St
Suite 303
Whittier, CA 90602-1048
Phone (562) 789-5440

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828001002 CA Practitioner - Obstetrics/Gynecology 7214183805 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of California Los AngelesGroup PAC ID 4587857727, 84 clinicians

Practice addresses (Care Compare)

1801 Wilshire Blvd
Santa Monica, CA 90403-5609
Phone (310) 319-5098

4201 Torrance Blvd
Suite 660
Torrance, CA 90503-4522
Phone (310) 316-4373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.46 of 100Reported as group
Quality
80.82
Promoting interoperability
100
Improvement activities
40
Cost
71.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046259AZMDObstetrics & Gynecology Physician
A110923CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Los Angeles CurrentSince May 1, 2019 Accepting new patients
Pih Health Physicians CurrentSince Jul 1, 2015 Accepting new patients
The Regents of the University of California Obstetrics & Gynecology CurrentSince Feb 1, 2020 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Pih Health Physicians CurrentSince Jul 1, 2015 Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Banner Baywood Medical Center Past Accepting new patients
Banner Desert Medical Center Past Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients
Honorhealth Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

File 54456
Los Angeles, CA 90074

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

200 Medical Plz
Ste 430
Los Angeles, CA 90095
Phone (310) 794-8282

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

2001 Santa Monica Blvd
Ste 380
Santa Monica, CA 90404
Phone (310) 899-7500

1801 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 319-5098

4201 Torrance Blvd
Ste 660
Torrance, CA 90503
Phone (310) 206-2449

4201 Torrance Blvd
Ste 600
Torrance, CA 90503
Phone (310) 316-4373

12462 Putnam St
Ste 303
Whittier, CA 90602
Phone (562) 789-5440

12291 Washington Blvd
Ste 500
Whittier, CA 90606
Phone (213) 698-2541

Interoperability endpoints

  • Direct secure messaging: kwilliams25654@direct.uclahealth.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1275795874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 600",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-316-4373",
            "fax_number": "310-316-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12462 Putnam St",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906021048",
            "country_code": "US",
            "telephone_number": "562-789-5440",
            "fax_number": "562-789-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELLY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "046259",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A110923",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A110923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.