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KELLY E FORDYCE MD A MEDICAL CORPORATION
NPI 1831772417
Internal Medicine in Ladera Ranch, CA

Active since May 03, 2021
777 CORPORATE DR STE 140, LADERA RANCH, CA 92694(949) 409-4868(949) 409-4898 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2021, May 3, 2021 (2 updates tracked since 2021).

About Kelly E Fordyce Md A Medical Corporation NPPES

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

KELLY E FORDYCE MD A MEDICAL CORPORATION (NPI 1831772417) is a healthcare organization registered as an internal medicine in Ladera Ranch, California and active in the NPI registry since May 2021. The organization lists Kelly E Fordyce, Owner, as its authorized official.

NPPES Registry Identity

NPI1831772417
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKELLY E FORDYCE MD A MEDICAL CORPORATION
Location Address777 CORPORATE DR STE 140Ladera Ranch, CA 92694-2136
Mailing Address777 Corporate Dr Ste 140Ladera Ranch, CA 92694-2136 · (949) 409-4868 · Fax (949) 409-4898
Phone(949) 409-4868
Fax(949) 409-4898
Organization SubpartNo
Authorized OfficialKelly E FordyceOwner · (949) 573-8335
Enumeration DateMay 3, 2021
Last NPPES UpdateJune 1, 20212 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1831772417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
777 CORPORATE DR STE 140, Ladera Ranch, CA 92694
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Other Identifiers 1

Medicaid00A732940CA

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 E Fordyce MD A Medical Corporation's NPI number?

The NPI number for Kelly E Fordyce MD A Medical Corporation is 1831772417. It was assigned to this organization in the NPPES registry on May 3, 2021.

Where is Kelly E Fordyce MD A Medical Corporation located?

Kelly E Fordyce MD A Medical Corporation is located at 777 Corporate Dr Ste 140, Ladera Ranch, CA 92694. The listed phone number is (949) 409-4868.

What is Kelly E Fordyce MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kelly E Fordyce MD A Medical Corporation was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.