NPIMap

Organization Active NPI

Strawberry Creek Medical Group of California PC

  • General Practice Physician
  • Orinda, CA
National Provider Identifier
1447806096
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
STRAWBERRY CREEK MEDICAL GROUP OF CALIFORNIA PC
Practice address
77 Moraga Way Ste G
Orinda, CA 94563-3019
Phone
(925) 254-6710
NPI assigned
Aug 9, 2019
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Dr. Kanwar Kelley, MD, JDNPI 1336438670
Title
Owner
Phone
(833) 880-7433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

77 Moraga Way Ste G
Orinda, CA 94563-3019

Mailing address

77 Moraga Way Ste G
Orinda, CA 94563-3019
Phone (833) 880-7433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190917003787 CA Part B Supplier - Clinic/Group Practice 5799015798 Receives reassigned benefits from 7 practitioners
Practice locations: Newport Beach, CA; Orinda, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1447806096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MORAGA WAY STE G",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633019",
            "telephone_number": "833-880-7433",
            "fax_number": "323-476-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MORAGA WAY STE G",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633019",
            "telephone_number": "925-254-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAWBERRY CREEK MEDICAL GROUP OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KANWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-880-7433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, JD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.