Jason Paul Kellogg MD Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JASON PAUL KELLOGG MD INC.

Practice address

17782 Cowan Ste a
Irvine, CA 92614-6041

Phone

(949) 710-4848

NPI assigned

Jan 16, 2025

Organization subpart

No

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

Authorized official

Name

Ali Mojaddam

Title

Manager

Phone

(949) 710-4848

Specialties & licenses 1

Addresses

Other names 1

• Pillars Psychiatric Services Doing business as

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1902617178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 VIA LIDO STE 665",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17782 COWAN STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146041",
            "telephone_number": "949-710-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON PAUL KELLOGG MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "MOJADDAM",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-710-4848"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pillars Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roopam Jariwal, MD
• Leslie Jarquin
• Melanie Jarrard
• Jason C Cho, DDS Inc.
• Jason Kajbaf Inc
• William Jason, P.A.
• Tiffany Marie Jauregui
• Zaman Javaheri, M.D.
• Purvi Chandresh Javia, DPT
• Javid Osafi DMD Inc

• Psychiatry Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.