Active NPI
David Lee Kay Belnap, PA
- Physician Assistant
- South Jordan, UT
National Provider Identifier
1760175426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14316262-1206
- Practice address
- 11444 S Redwood Rd
South Jordan, UT 84095-7803 - Phone
- (801) 253-5900
- NPI assigned
- May 30, 2023
- Last updated
- Oct 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14316262-1206 | UT | Primary |
Addresses
Primary practice location
11444 S Redwood Rd
South Jordan, UT 84095-7803
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
1107 W Poplar Ave
Porterville, CA 93257-5839
Phone (877) 960-3426
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63091 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Past | Accepting new patients |
Locations
1107 W Poplar Ave
Porterville, CA 93257
Phone (559) 781-7242
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Federally Qualified Health Center (FQHC)
- Porterville, CA
- NPI 1083611156
-
- Federally Qualified Health Center (FQHC)
- Ivanhoe, CA
- NPI 1386670610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1760175426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11444 S REDWOOD RD",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840957803",
"telephone_number": "801-253-5900"
}
],
"practiceLocations": [
{
"address_1": "1107 W Poplar Ave",
"address_purpose": "LOCATION",
"city": "Porterville",
"state": "CA",
"postal_code": "932575839",
"country_code": "US",
"telephone_number": "877-960-3426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELNAP",
"first_name": "DAVID",
"middle_name": "LEE KAY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-30",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "14316262-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.