Active NPI
Kelly Oberia Elmore, M.D.
- Obstetrics & Gynecology Physician
- Los Angeles, CA
National Provider Identifier
1942274964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A105818
- Practice address
- 445 S Figueroa St FL 31
Los Angeles, CA 90071-1602 - Phone
- (888) 731-8994
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A105818 | CA | Primary |
Addresses
Primary practice location
445 S Figueroa St FL 31
Los Angeles, CA 90071-1602
Mailing address
5680 Trinidad Way
San Diego, CA 92114-5310
Phone (773) 398-6867
Other practice location 1
5680 Trinidad Way
San Diego, CA 92114-5310
Phone (773) 398-6867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140529002482 | GU | Order and Referring Only - Obstetrics/Gynecology | 1759504269 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105818 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Integrative Womens Care PC | Obstetrics & Gynecology | Past | Accepting new patients |
| Koe Medical Consulting, Inc. | Past | Accepting new patients |
Interoperability endpoints
- kelmore43216@scrippshlth.medalliesdirect.net
- kelly.elmore.1@27069.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Gynecology Physician
- San Diego, CA
- NPI 1295274660
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba Midi Health PC
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1942274964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5680 TRINIDAD WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921145310",
"telephone_number": "773-398-6867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 S FIGUEROA ST FL 31",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900711602",
"telephone_number": "888-731-8994"
}
],
"practiceLocations": [
{
"address_1": "5680 Trinidad Way",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921145310",
"country_code": "US",
"telephone_number": "773-398-6867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELMORE",
"first_name": "KELLY",
"middle_name": "OBERIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A105818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.