Kelly Thomas, | |
2204 Garnet Ave Ste 101, San Diego, CA 92109-3771 | |
(858) 224-7970 | |
Not Available |
Full Name | Kelly Thomas |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 2204 Garnet Ave Ste 101, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356074017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 18248 (California) | Primary |
Entity Name | Sd Sports Medicine And Family Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669472510 PECOS PAC ID: 7113812496 Enrollment ID: O20040315001639 |
Mailing Address | Practice Location Address |
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Kelly Thomas, 6699 Alvarado Rd Ste 2100, San Diego, CA 92120-5238 Ph: (619) 229-3929 | Kelly Thomas, 2204 Garnet Ave Ste 101, San Diego, CA 92109-3771 Ph: (858) 224-7970 |
Dr. Rogelio Hernandez Jr., DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1764 San Diego Ave, Suite 100, San Diego, CA 92110 Phone: 619-291-1959 | |
James Donald Fontaine, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4765 Carmel Mountain Rd, 207b, San Diego, CA 92130 Phone: 858-876-1300 | |
David Ryan Bakal, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Dr. Susan Keiko Nakamura, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3350 La Jolla Village Dr, Pmrs 117, San Diego, CA 92161 Phone: 858-642-1147 | |
Jake Fellow, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11848 Bernardo Plaza Ct Ste 100, San Diego, CA 92128 Phone: 858-217-2496 | |
Dr. Blake R Thompson, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9040 Friars Rd, Suite 400, San Diego, CA 92108 Phone: 619-284-6377 Fax: 619-528-2841 | |
Mr. Rajiv D Reddy, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-543-5754 |