Active NPI
Andrew P Kelly, MD
- Diagnostic Radiology Physician
- Inglewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G66498
- Practice address
- 555 E Hardy Street
Centinela Hospital Medical Center
Inglewood, CA 90301 - Phone
- (310) 673-4660
- NPI assigned
- Nov 29, 2005
- Last updated
- Feb 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G66498 | CA | Primary |
Addresses
Primary practice location
555 E Hardy Street
Centinela Hospital Medical Center
Inglewood, CA 90301
Mailing address
PO Box 5686
Orange, CA 92863-5686
Phone (888) 598-8819
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G664980 | Other | BLUE SHIELD | |
| 00G664980 | Medicaid | CA | |
| 00G664980E02 | Other | CALOPTIMA | |
| 050739CF85471 | Other | TRAILBLAZER | |
| P00225785 | Other | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of California, Davis School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone (562) 795-6314
222 E Main St
Suite 213 214
Barstow, CA 92311-2361
Phone (780) 242-4444
4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Phone (310) 823-8911
555 E Hardy St
Inglewood, CA 90301-4011
Phone (310) 673-4660
Hospital & facility affiliations
- Cedar-Sinai Marina del Rey Hospital
- Centinela Hospital Medical Center
- Cedars-Sinai Medical Center
- Torrance Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G66498 | CA | MD | Diagnostic Radiology Physician |
Practice roles
Locations (25 of 26)
18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444
222 E Main St
Ste 213214
Barstow, CA 92311
Phone (780) 242-4444
8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100
2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462
801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099
801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025
16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020
6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433
9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314
250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450
2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333
110 S La Brea Ave
Ste 150
Inglewood, CA 90301
Phone (310) 671-6000
555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636
11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300
3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903
3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700
3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814
6801 Park Ter
Ste 100
Los Angeles, CA 90045
Phone (310) 665-7180
27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725
26522 La Alameda
Ste 170
Mission Viejo, CA 92691
Phone (949) 535-2100
25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230
3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014
1661 Golden Rain Rd
Ste Radiology
Seal Beach, CA 90740
Phone (562) 795-6314
2950 Sycamore Dr
Ste 102
Simi Valley, CA 93065
Phone (805) 357-0067
300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220
Organizations & group practices 34
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.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
-
- Diagnostic Radiology Physician
- Inglewood, CA
- NPI 1861475352
-
dba United Medical Imaging of Downey
- Radiology Clinic/Center
- Downey, CA
- NPI 1760572036
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1639141153
-
dba Anaheim Advanced Imaging
- Diagnostic Radiology Physician
- Anaheim, CA
- NPI 1972826774
-
dba United Medical Imaging of Century City
- Radiology Clinic/Center
- Los Angeles, CA
- NPI 1053759811
-
dba Minoo Heikali Women's Center of Torrance
- Mammography Clinic/Center
- Torrance, CA
- NPI 1336934397
-
dba United Medical Imaging of Anaheim
- Radiology Clinic/Center
- Anaheim, CA
- NPI 1225310741
-
dba United Medical Imaging of Fountain Valley
- Radiology Clinic/Center
- Fountain Valley, CA
- NPI 1750670428
-
dba United Medical Imaging of Santa Ana
- Radiology Clinic/Center
- Santa Ana, CA
- NPI 1053975052
-
dba United Medical Imaging of Gardena
- Radiology Clinic/Center
- Gardena, CA
- NPI 1104916477
-
dba United Medical Imaging of Buena Park
- Radiology Clinic/Center
- Buena Park, CA
- NPI 1124118492
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cedars-Sinai Marina Del Rey Hospital
- General Acute Care Hospital
- Marina del Rey, CA
- NPI 1942269725
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
dba Centinela Hospital Medical Center
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1316920895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5686",
"city": "ORANGE",
"state": "CA",
"postal_code": "928635686",
"telephone_number": "888-598-8819",
"fax_number": "714-571-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E HARDY STREET",
"address_2": "CENTINELA HOSPITAL MEDICAL CENTER",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "90301",
"telephone_number": "310-673-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ANDREW",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G66498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G664980",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G664980",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALOPTIMA",
"identifier": "00G664980E02",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAILBLAZER",
"identifier": "050739CF85471",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00225785",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.