Active NPI
Kelly Robinson, MD
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1417535097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 186909
- Practice address
- 3030 Childrens Way FL 2
San Diego, CA 92123-4232 - Phone
- (858) 966-5961
- NPI assigned
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 186909 | CA | |
| Pediatrics Physician | 208000000X | 186909 | CA | Primary |
Addresses
Primary practice location
3030 Childrens Way FL 2
San Diego, CA 92123-4232
Mailing address
3030 Childrens Way FL 2
San Diego, CA 92123-4232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186909 | CA | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1417535097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 CHILDRENS WAY FL 2",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 CHILDRENS WAY FL 2",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234232",
"telephone_number": "858-966-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "186909",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "186909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.