Jon P Kelly a Medical Copr

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A45013 Issued in CA

Legal business name

JON P KELLY A MEDICAL COPR

Practice address

2777 Jefferson St
Suite 100
Carlsbad, CA 92008-1743

Phone

(760) 434-0033

Fax

(760) 434-0032

NPI assigned

Jan 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jon P Kelly, MDNPI 1205866811

Title

Owner

Phone

(760) 434-0033

Specialties & licenses 1

Addresses

Other names 1

• CARLSBAD ORTHOPAEDIC GROUP Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon P Kelly, M.D.

  • Orthopaedic Surgery Physician
  • Carlsbad, CA
  • NPI 1205866811
  NPD (past) Authorized official

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1578868931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390005",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921490005",
            "telephone_number": "619-746-6530",
            "fax_number": "619-746-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 JEFFERSON ST",
            "address_2": "SUITE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081743",
            "telephone_number": "760-434-0033",
            "fax_number": "760-434-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON P KELLY A MEDICAL COPR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-434-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A45013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARLSBAD ORTHOPAEDIC GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• September Rose Johnson
• Shantell Johnson
• Tyler Johnson, DDS
• Alexa Noelle Johnston
• Jennifer Lynn Johnston, FNP
• Alaena Jones, SLPA
• Amy Lynette Jones
• Brad Wynn Jones, PHARM.D.
• Divine Janae Jones
• Eva Nevaeh Jones

• Orthopaedic Surgery Physician in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.