Kelker Management Corp

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

125913 Issued in CA

Legal business name

KELKER MANAGEMENT CORP

Practice address

160 E Artesia St Ste 310
Pomona, CA 91767-2922

Phone

(174) 330-1844

NPI assigned

Apr 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tariq Kelker, MD

Title

MD/Ceo

Phone

(714) 330-1844

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1902394737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17062",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928177062",
            "telephone_number": "714-330-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 310",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672922",
            "telephone_number": "174-330-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELKER MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "KELKER",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "714-330-1844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "125913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "125913",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalina Kazemi
• Amir Kazerouni Zand
• Christian Kee
• Abygail Keeley
• Katrina Marie Keil, PH.D.
• Alison Emma Keller
• Kayla Kelley
• Marsah Kellier
• Lacristen Lakaylen Kelly
• Julia Gathoni Kemei

• Surgery Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.