NPIMap

Organization Active NPI

William M Kelly M.D., Inc

Doing business as Health Scan Imaging, Truly Open MRI, Open MRI of Loma Linda

  • Specialist
  • Palm Desert, CA
National Provider Identifier
1316125131
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A34125 Issued in CA
Legal business name
WILLIAM M KELLY M.D., INC
Doing business as
Health Scan Imaging, Truly Open MRI, Open MRI of Loma Linda
Practice address
44489 Town Center Way
Suite D Box 540
Palm Desert, CA 92260-2723
Phone
(760) 346-2257
NPI assigned
Feb 4, 2008
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
William Matthew Kelly, M.D.NPI 1114952165
Title
President
Phone
(760) 776-8001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A34125 CA Primary

Addresses

Primary practice location

44489 Town Center Way
Suite D Box 540
Palm Desert, CA 92260-2723

Mailing address

72980 Fred Waring Dr
Suite a
Palm Desert, CA 92260-9339
Phone (760) 776-9636

Other names 1

  • Health Scan Imaging, Truly Open MRI, Open MRI of Loma Linda Doing business as

National Provider Directory

National Provider Directory

Locations

425 Diamond Dr
Ste 103
Lake Elsinore, CA 92530
Phone (951) 245-2700

73211 Fred Waring Dr
Ste 101
Palm Desert, CA 92260
Phone (760) 836-3835

74000 Country Club Dr
Ste E1
Palm Desert, CA 92260
Phone (760) 674-8800

29798 Haun Rd
Ste 103
Sun City, CA 92586
Phone (951) 244-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

Subparts reporting this organization as parent 10

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1316125131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72980 FRED WARING DR",
            "address_2": "SUITE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609339",
            "telephone_number": "760-776-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44489 TOWN CENTER WAY",
            "address_2": "SUITE D BOX 540",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602723",
            "telephone_number": "760-346-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M KELLY M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-776-8001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A34125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Scan Imaging, Truly Open MRI, Open MRI of Loma Linda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.