| Nicole C Kelleher, MD | |
|
18460 Roscoe Blvd Fl 2, Northridge, CA 91325-4107 | |
| (818) 885-5480 | |
| (818) 993-1917 |
| Full Name | Nicole C Kelleher |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 13 Years |
| Location | 18460 Roscoe Blvd Fl 2, Northridge, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972946747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | A165046 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northridge Hospital Medical Center | Northridge, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dignity Health Medical Foundation | 7810800661 | 1170 |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Entity Name | West Coast Health And Rehab Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043743891 PECOS PAC ID: 8325315609 Enrollment ID: O20170517002654 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole C Kelleher, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Nicole C Kelleher, MD 18460 Roscoe Blvd Fl 2, Northridge, CA 91325-4107 Ph: (818) 885-5480 |
Mr. Kevin J Pidgeon, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 Fax: 818-727-1451 | |
Thomas L. Hedge Jr., M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-5342 Fax: 818-727-1451 | |
Babak Bina, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 18460 Roscoe Blvd Fl 3, Northridge, CA 91325 Phone: 818-885-5480 Fax: 818-993-1917 | |
Dr. Aral M Sezginis, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 18460 Roscoe Blvd Fl 2, Northridge, CA 91325 Phone: 916-379-2861 | |
Dr. Golnaz Nouri, D.O Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 18460 Roscoe Blvd Fl 3, Northridge, CA 91325 Phone: 818-885-5480 Fax: 818-993-1917 | |
Alex Ling Lin, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 714-362-5590 | |
Sherif Taha Elamir, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-5342 Fax: 818-727-1451 |