Kelly and Saade Pediatrics Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G39942 Issued in CA

Legal business name

KELLY AND SAADE PEDIATRICS MEDICAL CORPORATION

Practice address

8337 Telegraph Rd Ste 119
Pico Rivera, CA 90660-4941

Phone

(562) 776-3444

Fax

(562) 776-3411

NPI assigned

Dec 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda S Dudley

Title

Billing Manager

Phone

(562) 776-3444

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Mercy Aeri, PA

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1386128478
  NPD (past)
• Luis Antonio Garcia

  • Family Nurse Practitioner
  • Pico Rivera, CA
  • NPI 1053094193
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508925900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD STE 119",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604941",
            "telephone_number": "562-776-3444",
            "fax_number": "562-776-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD STE 119",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604941",
            "telephone_number": "562-776-3444",
            "fax_number": "562-776-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY AND SAADE PEDIATRICS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "562-776-3444"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G39942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGE A SAADE MD",
            "identifier": "1295795409",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID J. KELLY MD",
            "identifier": "1588624084",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisea Jose, N.P.
• Jung Sim & Stephen Park Dental
• Priti Mansukh Kaneria, PHARM.D.
• Angela Jihye Kang, PHARM.D.
• Cristina Kelekian
• David J Kelly, M.D.
• Khalid B Ahmed MD Apc
• Khalid B. Ahmed M.D. Inc.
• Jean Annette Killebrew, M.A. M.F.T.
• In Il Kim, PHARM.D.

• Specialist in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.