WILLIAM M. KELLY M.D. INC. NPI 1306078225

NPI Information

  • NPI: 1306078225
  • Provider Name: WILLIAM M. KELLY M.D., INC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: HEALTH SCAN IMAGING, TRULY OPEN MRI, AND OPEN MRI OF LOMA LINDA
  • Address: 72980 FRED WARING DR
    SUITE A
    PALM DESERT, CA
    ZIP 92260
  • Phone: (760) 776-8001

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NPI Details

WILLIAM M. KELLY M.D., INC. is a specialist in Palm Desert, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WILLIAM M. KELLY M.D., INC. NPI is 1306078225. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Health Scan Imaging, Truly Open Mri, And Open Mri Of Loma Linda.

The provider's business location address is:

72980 FRED WARING DR
SUITE A
PALM DESERT, CA
ZIP 92260-898
Phone: (760) 776-8001
Fax: (760) 836-3934

The provider's authorized official is Tania Chang .
The authorized official title is Credentialing/contrac Administrator and has the following contact phone number (760) 776-8001.

The enumeration date for this NPI number is 8/11/2009 and was last updated on 10/18/2013.

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
12085D0003XRadiologyDiagnostic NeuroimagingNo
2174400000XSpecialistA34125CALIFORNIAYes

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
100A341250MEDICAIDCALIFORNIA
2ZZZ22856ZMEDICARE PIN
3ZZZ22857ZMEDICARE PINCALIFORNIA
4ZZZ26694ZMEDICARE PINCALIFORNIA
5ZZZ02829ZMEDICARE PINCALIFORNIA
6A27387MEDICARE UPINCALIFORNIA
7ZZZ22856ZMEDICARE PINCALIFORNIA
8ZZZ22860ZMEDICARE PINCALIFORNIA

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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