Marie Rusher Kelley, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G35507 Issued in CA

Practice address

1200 Rosecrans Ave Ste 105
Manhattan Beach, CA 90266-2470

Phone

(310) 335-1411

Fax

(310) 414-5775

NPI assigned

Dec 13, 2006

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740341791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 BAGLEY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341108",
            "telephone_number": "310-836-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 105",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662470",
            "telephone_number": "310-335-1411",
            "fax_number": "310-414-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MARIE",
        "middle_name": "RUSHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G35507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kaye, FNP
• Caroline Fisher Keck
• Keith S. Feder MD, Inc.
• Diane Renee Kelley, PH.D.
• Lea Kelley, D.C., L.AC.
• Kelly Psychiatric Associates, Inc.
• Patrick Michael Kelly, MD
• Ella Kenney
• Lauren Kerscher, PA-C
• Peggy Mulder Kersulis, MFT

• Pediatrics Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.