Kelker Professional Corporation

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

KELKER PROFESSIONAL CORPORATION

Practice address

1550 E Washington
St 103
Colton, CA 92324-4624

Phone

(909) 222-6990

Fax

(909) 236-5314

NPI assigned

Apr 22, 2026

Organization subpart

No

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

Authorized official

Name

Tariq Kelker, MDNPI 1255771291

Title

Ceo

Phone

(310) 810-6554

Specialties & licenses 1

Addresses

Other names 1

• Lacasa Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tariq A. Kelker, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Riverside, CA
  • NPI 1255771291
  Medicare reassignment Authorized official
• Gina Habeeb

  • Surgical Physician Assistant
  • Riverside, CA
  • NPI 1801386149

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1376488577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244624",
            "telephone_number": "909-222-6990",
            "fax_number": "909-236-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E WASHINGTON",
            "address_2": "ST 103",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244624",
            "telephone_number": "909-222-6990",
            "fax_number": "909-236-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELKER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "KELKER",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-810-6554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lacasa Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mina Kazemi, D.O.
• Michael Aaron Kealiher, MD
• Prescilla Keeney, RN
• Teresa Keeney
• Edward Martin Keiderling, MD
• Rumicko Kellenberger
• Leila Kelly
• Nona Denise Kelly, MFT
• Sukeshini P Kelly, RN
• Robert Kemngang

• Critical Care Medicine (Internal Medicine) Physician in Colton, CA
• Providers in Colton, CA by specialty
• Critical Care Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.