KELLY MARIE OCHOA MD - NPI 1063711067 - Pediatrics in Oxnard, CA

Q: What is Kelly Ochoa's NPI number?

The NPI number for Kelly Ochoa is 1063711067. It was assigned to this individual provider in the NPPES registry on March 16, 2011. The provider is also known as Kelly Marie Mackin M.D..

Q: What is Kelly Ochoa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Ochoa was last updated on September 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly Marie Ochoa Md NPPES

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

KELLY MARIE OCHOA MD (NPI 1063711067) is an individual pediatric emergency medicine provider in Oxnard, California, licensed in California (A115696) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063711067

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameKELLY MARIE OCHOACredential: MD

Location Address1000 TOWN CENTER DR STE 300Oxnard, CA 93036-1117

Mailing Address1000 Town Center Dr Ste 300Oxnard, CA 93036-1117 · (559) 797-1686

Phone(559) 797-1686

Sole ProprietorNo

Enumeration DateMarch 16, 2011

Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2022

✔ NPI 1063711067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in CA · A115696

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License A115696 (CA)

1000 TOWN CENTER DR STE 300, Oxnard, CA 93036

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Other Names 1

Former Name (1)Kelly Marie Mackin M.d.

Secondary Practice Locations 2

Location 19300 Valley Children's Place, Valley Children's Hospital Emergency DepartmentMadera, CA 93636 · Phone (559) 353-5803

Location 21865 Herndon Ave Ste K616Clovis, CA 93611-6163 · Phone (559) 797-1686 · Fax (949) 509-2413

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marie Ochoa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

OPERATION:I.V.,INC

Case Manager/Care Coordinator