JAMES MICHAEL KELLY MD
NPI 1033267844
Family Medicine in San Diego, CA

Active since January 08, 2007
4405 VANDEVER AVE, SAN DIEGO, CA 92120(619) 528-5000 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James Michael Kelly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES MICHAEL KELLY MD (NPI 1033267844) is an individual family medicine provider in San Diego, California, licensed in California (C32500) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1033267844
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES MICHAEL KELLYCredential: MD
Location Address4405 VANDEVER AVESan Diego, CA 92120-3315
Mailing Address393 E Walnut St, 3rd Floor Phr SystemsPasadena, CA 91188-0001 · (000) 000-0000 · Fax (000) 000-0000
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateNovember 29, 2007
NPI 1033267844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · C32500
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4405 VANDEVER AVE, San Diego, CA 92120

Other Identifiers 2

Medicaid00C325000CA
Medicare UPINA87591

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
4405 VANDEVER AVE, 3RD FLOOR, KAISER PERMANENTE
SAN DIEGO, CA 92120
Psychiatry & Neurology (Psychiatry)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Physical Medicine & Rehabilitation
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pediatrics (Pediatric Cardiology)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Emergency Medicine
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033267844, enumerated as an "individual" on January 08, 2007.

The provider is located at 4405 VANDEVER AVE SAN DIEGO, CA 92120 and the phone number is (619) 528-5000.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.