Kelly Mackenzie Arditi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20452 Issued in CA

Practice address

77 Van Ness Avenue
Suite 302
San Francisco, CA 94102

Phone

(415) 379-9015

Fax

(415) 379-9045

NPI assigned

Jan 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly M Arditi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Chicago Women'S Health Group at Northwestern

  • Specialist
  • Chicago, IL
  • NPI 1053377473
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1508041583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VAN NESS AVENUE",
            "address_2": "SUITE 302",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94102",
            "telephone_number": "415-379-9015",
            "fax_number": "415-379-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VAN NESS AVENUE",
            "address_2": "SUITE 302",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94102",
            "telephone_number": "415-379-9015",
            "fax_number": "415-379-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDITI",
        "first_name": "KELLY",
        "middle_name": "MACKENZIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "ARDITI",
            "middle_name": "M",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caroline Emily Arcuri
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• Arden Wood Inc
• Gabriel Arden
• Ingrid Arden, D.D.S.
• Remy Ardizzone, DPM
• Laura Ardzrooni Dreyer
• Patricia Ann Arean, PH.D.
• Gus R Arechavala
• Jenee Areeckal, MSW, LCSW

• Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.