WILLIAM M. KELLY M.D. INC. NPI 1295718161

NPI Information

  • NPI: 1295718161
  • Provider Name: WILLIAM M. KELLY M.D., INC.
  • Classification: Radiology - 2085D0003X
  • Specialization: Diagnostic Neuroimaging
  • Entity Type: Organization
  • Doing Business As: OPEN MRI OF LOMA LINDA
  • Address: 11360 MOUNTAIN VIEW AVE
    SUITE C
    LOMA LINDA, CA
    ZIP 92354
  • Phone: (909) 478-3300

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NPI Details

WILLIAM M. KELLY M.D., INC. is a diagnostic neuroimaging radiology in Loma Linda, CA. The provider is a licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. WILLIAM M. KELLY M.D., INC. NPI is 1295718161. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Open Mri Of Loma Linda.

The provider's business location address is:

11360 MOUNTAIN VIEW AVE
SUITE C
LOMA LINDA, CA
ZIP 92354-861
Phone: (909) 478-3300
Fax: (909) 478-3900

The provider's authorized official is Melonie Storer .
The authorized official title is Credentialing Administrator and has the following contact phone number (951) 302-2223.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 1/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyA34125CALIFORNIANo
22085D0003XRadiologyDiagnostic NeuroimagingA34125CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A27387MEDICARE UPINCALIFORNIA
2ZZZ22857ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3A27387MEDICARE UPIN
400A341251MEDICAIDCALIFORNIA
5ZZZ22856ZMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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