Kelly Marie Contreras

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

902 N. Grand Avenue
Suite 204
Santa Ana, CA 92701

Phone

(714) 613-0029

Fax

(714) 558-9803

NPI assigned

Oct 5, 2018

Last updated

Oct 5, 2018By the provider in NPPES

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

Other names 1

• Ms. KC Contreras Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1841765815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N. GRAND AVENUE",
            "address_2": "SUITE 204",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-613-0029",
            "fax_number": "714-558-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N. GRAND AVENUE",
            "address_2": "SUITE 204",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-613-0029",
            "fax_number": "714-558-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KC",
            "last_name": "CONTRERAS",
            "prefix": "MS.",
            "credential": "MEDICAL BILLER / COL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jacqueline Contreras Bugarin
• Alyssa Breanne Contreras
• Guadalupe Contreras
• Joceline Contreras
• Joselin Contreras
• Lorenzo Gonzalez Contreras
• Luisa Contreras
• Yesenia Contreras
• Yoanna Contreras, LVN
• Emmett Eugene Cook II

• Clinical Medical Laboratory in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.