Organization Active NPI

Richard John Kelly, M.D., Inc.

  • Anesthesiology Physician
  • Carmel, CA
National Provider Identifier
1285755199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
RICHARD JOHN KELLY, M.D., INC.
Practice address
225 The Crossroads # 430
Carmel, CA 93923-8674
Phone
(831) 621-4027
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard John Kelly, M.D.
Title
President
Phone
(831) 621-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

225 The Crossroads # 430
Carmel, CA 93923-8674

Mailing address

225 The Crossroads # 430
Carmel, CA 93923-8674
Phone (831) 621-4027

Other names 1

  • Community Hospital Anesthesia Medical Providers Doing business as

National Provider Directory

National Provider Directory

Locations

225 The Crossroads Blvd
Carmel, CA 93923
Phone (831) 240-5458

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285755199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 THE CROSSROADS # 430",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238674",
            "telephone_number": "831-621-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 THE CROSSROADS # 430",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238674",
            "telephone_number": "831-621-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD JOHN KELLY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-621-4027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Hospital Anesthesia Medical Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.