Kelly Deegan

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

142 William Way
Pittsburg, CA 94565-4859

Phone

(925) 491-1428

NPI assigned

Aug 27, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1548148455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 WILLIAM WAY",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654859",
            "telephone_number": "925-491-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 WILLIAM WAY",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654859",
            "telephone_number": "925-491-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEGAN",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Dace, N.P.
• Patrick Davis
• Paul Davis
• Angela Michelle Davison, ASW
• Sharon Yvette De Edwards, M.D.
• Kris Katrina Kim Mapua Del Rosario
• Brian Delgado
• Elizabeth V Delgado, LCSW
• Saida Delgado
• Gerald R Delrio, M.D.

• Peer Specialist in Pittsburg, CA
• Providers in Pittsburg, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.