DR. KERRY ELLIS FINE DO
NPI 1528565868
Student in an Organized Health Care Education/Training Program in Colton, CA

Q: What is Kerry Fine's NPI number?

The NPI number for Kerry Fine is 1528565868. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Q: What is Kerry Fine's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kerry Fine was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2018PECOS Enrolled

400 N PEPPER AVE, COLTON, CA 92324(909) 580-3362 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kerry Ellis Fine Do NPPES

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

DR. KERRY ELLIS FINE DO (NPI 1528565868) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528565868

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. KERRY ELLIS FINECredential: DO

Location Address400 N PEPPER AVEColton, CA 92324-1801

Mailing Address400 N Pepper AveColton, CA 92324-1801

Phone(909) 580-3362

Sole ProprietorNo

Enumeration DateApril 12, 2018

Last NPPES UpdateSeptember 26, 2023

✔ NPI 1528565868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

400 N PEPPER AVE, Colton, CA 92324

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kerry Ellis Fine Do 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 20

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

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