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MANTECA OBSTETRICS AND GYNECOLOGY MEDICAL GROUP
NPI 1477654341
Obstetrics & Gynecology in Manteca, CA

Active since September 25, 2006
421 E CENTER ST, MANTECA, CA 95336(209) 823-7616(209) 823-4352 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Manteca Obstetrics And Gynecology Medical Group NPPES

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

MANTECA OBSTETRICS AND GYNECOLOGY MEDICAL GROUP (NPI 1477654341) is a healthcare organization registered as an obstetrics & gynecology in Manteca, California and active in the NPI registry since September 2006. The organization lists Kelly Mah, President, as its authorized official.

NPPES Registry Identity

NPI1477654341
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameKELLY MAH, M.D.
Location Address421 E CENTER STManteca, CA 95336-4718
Mailing Address421 E Center StManteca, CA 95336-4718 · (209) 823-7616 · Fax (209) 823-4352
Phone(209) 823-7616
Fax(209) 823-4352
Organization SubpartNo
Authorized OfficialKelly MahPresident · (209) 823-7616
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1477654341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G065156
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

421 E CENTER ST, Manteca, CA 95336
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Other Names 1

Doing Business AsManteca Obstetrics And Gynecology Medical Group

Other Identifiers 2

OtherG065156CA · Medical License Number
MedicaidGR0045320CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mah, M.D.'s NPI number?

The NPI number for Kelly Mah, M.D. is 1477654341. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Manteca Obstetrics And Gynecology Medical Group.

Where is Kelly Mah, M.D. located?

Kelly Mah, M.D. is located at 421 E Center St, Manteca, CA 95336. The listed phone number is (209) 823-7616.

What is Kelly Mah, M.D.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Kelly Mah, M.D. was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.