MRS. KATRINA BALIDO MCKELLEY D.O.
NPI 1790046506
Family Medicine in Temecula, CA
About Mrs. Katrina Balido Mckelley D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KATRINA BALIDO MCKELLEY D.O. (NPI 1790046506) is an individual family medicine provider in Temecula, California, licensed in California (20A13339) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Katrina Balido Mckelley D.o. 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 Reassignment
Medicare enrollment records show Katrina Mckelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1952333460 (California)
- 5,228 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 92590 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Katrina Mckelley's NPI number?
The NPI number for Katrina Mckelley is 1790046506. It was assigned to this individual provider in the NPPES registry on June 7, 2012.
Where is Katrina Mckelley located?
Katrina Mckelley practices at 27309 Madison Ave, Temecula, CA 92590. The listed phone number is (866) 984-7483.
What is Katrina Mckelley's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Katrina Mckelley enrolled in Medicare?
Yes. Katrina Mckelley 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 organization bills Medicare for Katrina Mckelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Mckelley reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The 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 Katrina Mckelley'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 Katrina Mckelley was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Katrina Balido Mckelley, D.O. · NPI 1790046506
Family Medicine physician in Temecula, California. Individual provider, active in the CMS NPPES registry since June 7, 2012.
## Identity
- **NPI:** 1790046506 (Entity type: Individual)
- **Enumerated:** June 7, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A13339 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 27309 MADISON AVE, Temecula, CA 92590-5685
- **Phone:** (866) 984-7483
## 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:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790046506) · Data from the CMS NPPES public registry.