John G Kelly, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA 1806 Issued in CA

Practice address

4504 Clairemont Mesa Blvd
San Diego, CA 92117-2065

Phone

(619) 275-0011

Fax

(619) 275-0013

NPI assigned

Jan 29, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hearx West, LLC

  • Audiologist-Hearing Aid Fitter
  • Bakersfield, CA
  • NPI 1356398598
  NPD (past)
• Northland Hearing Center, Inc.

  • Hearing Aid Equipment
  • Carlsbad, CA
  • NPI 1386165983

  Hearing Instrument Specialist

  NPD (past)
• Northland Hearing Centers, Inc.

  • Hearing and Speech Clinic/Center
  • Sparta, IL
  • NPI 1184677791

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1396168258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405",
            "telephone_number": "800-328-8602",
            "fax_number": "952-285-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172065",
            "telephone_number": "619-275-0011",
            "fax_number": "619-275-0013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 S El Camino Real Ste 14",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920546391",
            "country_code": "US",
            "telephone_number": "760-439-5755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "785 Grand Ave Ste 210A",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920082371",
            "country_code": "US",
            "telephone_number": "760-434-2643",
            "fax_number": "619-275-0013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-29",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA 1806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Kelly, BCAT
• James Michael Kelly, MD
• Jane Barrett Kelly, M.D.
• Jennifer Celeste Kelly
• Jessica Kelly, LVN
• Katherine Ann Kelly, MD
• Katrina L. Kelly, M.D.
• Kenneth J Kelly, M.D.
• Kerri Zuba Kelly, LCSW
• Kyle Kelly

• Hearing Instrument Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.