Tamsin Lisa Kelly, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C040983 Issued in CA

Practice address

9537 La Jolla Farms Rd
La Jolla, CA 92037-1130

Phone

(858) 457-3876

NPI assigned

Oct 8, 2017

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": "1507420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507420800000",
    "number": "1740790468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9537 LA JOLLA FARMS RD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371130",
            "telephone_number": "858-945-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9537 LA JOLLA FARMS RD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371130",
            "telephone_number": "858-457-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TAMSIN",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-08",
        "last_updated": "2017-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C040983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin F Kelley, M.D.
• Jessica Kelley, NP
• Amorah Kelly, L.AC.
• Cerra Michaela Kelly, ND
• Quyen Nguyen Kelly, MD
• Skylar Kelsven, PHD
• John Robinson Keltner
• Alicia Krasuake Kennedy, DDS
• Frank Kennedy, M.D.
• Steven Kenney, D.O.

• Internal Medicine Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2017; 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.