Anthony Kelada, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A146017 Issued in CA

Practice address

991 Reserve Dr
Ste B
Roseville, CA 95678-1350

Phone

(916) 960-0543

NPI assigned

Apr 7, 2014

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anthony Kelada Psychiatry Inc

  • Psychiatry Physician
  • Roseville, CA
  • NPI 1679120836
  Medicare reassignment NPD Authorized official
• Cep America - Psychiatry PC

  • Psychiatry Physician
  • Santa Maria, CA
  • NPI 1538757232
  Medicare reassignment NPD
• Cep America - Psychiatry PC

  • Psychiatry Physician
  • Indio, CA
  • NPI 1144195926
  NPD
• Cep America - Psychiatry PC

  • Psychiatry Physician
  • Folsom, CA
  • NPI 1356810519
  NPD
• Nadine H. Yassa, M.D., Inc.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Roseville, CA
  • NPI 1265620405
  NPD (past)
• Roseville Family Urgent Care Inc

  • Urgent Care Clinic/Center
  • Roseville, CA
  • NPI 1982532842
  NPD (past)

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1659790624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 RESERVE DR STE B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781350",
            "telephone_number": "916-789-8811",
            "fax_number": "916-789-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 RESERVE DR",
            "address_2": "STE B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781350",
            "telephone_number": "916-960-0543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Sunrise Ave",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614110",
            "country_code": "US",
            "telephone_number": "916-786-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELADA",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A146017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Zachary Kehrt, MD MS
• Bradley Keizer, CRNA
• Kelada Physicians Group, Inc
• Alexandramary Kelada, DO, MPH
• Andrew Kelada, M.D.
• John Paul Youssry Kelada, MD
• Youssry J Kelada, M.D.
• Keller Care LMFT
• Hana Keller, MD
• Julie Anna Keller, LMFT

• Psychiatry Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.