AUBREY DERRICK KELLY
NPI 1730822206
Emergency Medicine in Los Angeles, CA
About Aubrey Derrick Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUBREY DERRICK KELLY (NPI 1730822206) is an individual emergency medicine provider in Los Angeles, California, licensed in California (A196958) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2026).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Aubrey Derrick Kelly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Aubrey Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Bakersfield, CA 93301
- Reassigned Medicare billing, California enrollment
- 163 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
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 Aubrey Kelly's NPI number?
The NPI number for Aubrey Kelly is 1730822206. It was assigned to this individual provider in the NPPES registry on April 13, 2022.
Where is Aubrey Kelly located?
Aubrey Kelly practices at 924 Westwood Blvd Ste 300, Los Angeles, CA 90024. The listed phone number is (310) 794-0785.
What is Aubrey Kelly's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Aubrey Kelly enrolled in Medicare?
Yes. Aubrey Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Aubrey Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aubrey Kelly reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Los Angeles, CA) and Grand Avenue Emergency Physicians Medical Group Inc (Bakersfield, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aubrey Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Aubrey Kelly was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.
# Aubrey Derrick Kelly · NPI 1730822206
Emergency Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 13, 2022.
## Identity
- **NPI:** 1730822206 (Entity type: Individual)
- **Enumerated:** April 13, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A196958 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 924 WESTWOOD BLVD STE 300, Los Angeles, CA 90024-2924
- **Phone:** (310) 794-0785
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA); Grand Avenue Emergency Physicians Medical Group Inc (NPI 1962913632, Bakersfield, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2026
## Record status
- **NPPES last updated:** August 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730822206) · Data from the CMS NPPES public registry.