Thomas J Kelly, MD | |
11234 Anderson St Ste B623, Loma Linda, CA 92354-2804 | |
(909) 558-4000 | |
(909) 558-3905 |
Full Name | Thomas J Kelly |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 38 Years |
Location | 11234 Anderson St Ste B623, Loma Linda, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760421432 | NPI | - | NPPES |
10540392 | Other | CA | IHG/HEALTHSMART |
5519004 | Medicaid | NJ | |
1760421432 | Medicaid | CA | |
P01603268 | Other | CA | RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MA53386 (New Jersey) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | G073741 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Loma Linda University Medical Center | Loma linda, CA | Hospital |
White Memorial Medical Center | Los angeles, CA | Hospital |
Adventist Health Hanford | Hanford, CA | Hospital |
Sutter Amador Hospital | Jackson, CA | Hospital |
Adventist Health Bakersfield | Bakersfield, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Medical Group Of Wmmc | 0244247864 | 33 |
Usc Care Medical Group Inc | 0446157747 | 1142 |
Reedley Community Hospital | 0941460984 | 49 |
Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1065 |
Adventist Health Delano | 1254248016 | 41 |
San Joaquin Community Hospital | 1557390580 | 91 |
West Valley Radiology Medical Group Inc | 1658266622 | 40 |
Advanced Radiology And Interventional Associates Inc | 2163816448 | 44 |
Adventist Health Clearlake Hospital Inc. | 3072421197 | 81 |
Adventist Health Mendocino Coast | 3678990769 | 60 |
Adventist Health Tulare | 4385988757 | 39 |
Seven Star Hospital Associates Inc | 4789083338 | 106 |
Cedars-sinai Imaging Medical Group A Professional Corporation | 4981518313 | 70 |
Ukiah Adventist Hospital | 6406816123 | 104 |
Hanford Community Hospital | 7416868377 | 60 |
St. Helena Hospital | 8729059878 | 74 |
Rideout Memorial Hospital | 9234036088 | 63 |
Mother Lode Diagnostic Imaging Inc | 9739176892 | 18 |
Entity Name | Cedars-sinai Imaging Medical Group A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922135359 PECOS PAC ID: 4981518313 Enrollment ID: O20031118001070 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Adventist Health Delano |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578798047 PECOS PAC ID: 1254248016 Enrollment ID: O20040303000739 |
Entity Name | West Valley Radiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265486427 PECOS PAC ID: 1658266622 Enrollment ID: O20040308001429 |
Entity Name | Hanford Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538141627 PECOS PAC ID: 7416868377 Enrollment ID: O20040325000272 |
Entity Name | Willits Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
Entity Name | Rideout Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720088354 PECOS PAC ID: 9234036088 Enrollment ID: O20040610000983 |
Entity Name | Mother Lode Diagnostic Imaging Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053456061 PECOS PAC ID: 9739176892 Enrollment ID: O20040623001281 |
Entity Name | St. Helena Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720078082 PECOS PAC ID: 8729059878 Enrollment ID: O20040803001176 |
Entity Name | Arcadia Radiology Medical Group A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841228764 PECOS PAC ID: 9537134184 Enrollment ID: O20040827000915 |
Entity Name | Fullerton Radiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861451858 PECOS PAC ID: 4587632575 Enrollment ID: O20040917000672 |
Entity Name | Ukiah Adventist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235120676 PECOS PAC ID: 6406816123 Enrollment ID: O20041015000818 |
Entity Name | Adventist Health Clearlake Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
Entity Name | Madison Radiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134118342 PECOS PAC ID: 7810936481 Enrollment ID: O20050503000584 |
Entity Name | Usc Care Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Entity Name | San Joaquin Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538157508 PECOS PAC ID: 1557390580 Enrollment ID: O20050810000537 |
Entity Name | Radiology Medical Group Of Wmmc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831123868 PECOS PAC ID: 0244247864 Enrollment ID: O20060307000489 |
Entity Name | Los Alamitos Radiology Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005024 PECOS PAC ID: 5092718882 Enrollment ID: O20060816000607 |
Entity Name | Los Angeles Radiology Medical Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366525487 PECOS PAC ID: 7517968167 Enrollment ID: O20070124000506 |
Entity Name | Washington Radiologists Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851355622 PECOS PAC ID: 6305927245 Enrollment ID: O20080116000567 |
Entity Name | California Managed Imaging Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821271727 PECOS PAC ID: 9436229887 Enrollment ID: O20080528000575 |
Entity Name | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090917000455 |
Entity Name | Apex Radiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750650982 PECOS PAC ID: 7719140680 Enrollment ID: O20120514000416 |
Entity Name | Radiant Imaging, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437583200 PECOS PAC ID: 7113145558 Enrollment ID: O20140827001815 |
Entity Name | Kc Tan, M.d. Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215394036 PECOS PAC ID: 2062719719 Enrollment ID: O20160324000980 |
Entity Name | Adventist Health Medical Center Tehachapi |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275538530 PECOS PAC ID: 1456646629 Enrollment ID: O20170124000729 |
Entity Name | Radiologica Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073000105 PECOS PAC ID: 8820337769 Enrollment ID: O20190311002513 |
Entity Name | Adventist Health Tulare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801366711 PECOS PAC ID: 4385988757 Enrollment ID: O20201221001163 |
Entity Name | Reedley Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336167550 PECOS PAC ID: 0941460984 Enrollment ID: O20201224000078 |
Entity Name | Seven Star Hospital Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
Entity Name | Sol Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457928111 PECOS PAC ID: 1850796681 Enrollment ID: O20210817002978 |
Entity Name | Advanced Radiology And Interventional Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669123626 PECOS PAC ID: 2163816448 Enrollment ID: O20220302002290 |
Entity Name | Adventist Health Mendocino Coast |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538113725 PECOS PAC ID: 3678990769 Enrollment ID: O20220620001667 |
Mailing Address | Practice Location Address |
---|---|
Thomas J Kelly, MD 11234 Anderson Street, Suite B623, Loma Linda, CA 92354 Ph: (909) 558-4000 | Thomas J Kelly, MD 11234 Anderson St Ste B623, Loma Linda, CA 92354-2804 Ph: (909) 558-4000 |
Dr. Arthur Chung-liung Chang, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Va Loma Linda Healthcare System - Dept Of Radiology, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Joseph Unis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8311 | |
Donald Tellfair Barnes, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Imaging Service (radoiology Department), Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Kristen Darden, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Suite C, Loma Linda, CA 92354 Phone: 909-558-7814 | |
Raymond Torres Scott, Radiology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St Ste Mc-b622, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Jason Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8311 | |
Thu Tang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8311 |