La Crista Mazeke-kelley
M.D. | Pediatrics | Female
La Crista Mazeke-kelley, M.D. is a San Jose, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of La Crista Mazeke-kelley is
227 N Jackson Ave, San Jose, California - 95116-1603. She can be contacted on phone at
408-347-2030 and fax number 408-347-2192.
La Crista Mazeke-kelley is a sole proprietor of her business.
NPI number (Unique professional ID) for La Crista Mazeke-kelley is
1902917594 which was assigned by NPPES on 31 Aug, 2006 and it was last updated on 10 Oct, 2007.
La Crista Mazeke-kelley license number is
A55457 for Pediatrics (208000000X) in California.
La Crista Mazeke-kelley is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
La Crista Mazeke-kelley basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | La Crista Mazeke-kelley |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
La Crista Mazeke-kelley address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 227 N Jackson Ave
San Jose, CA, 95116-1603
United States |
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| Phone Number : | 408-347-2030 |
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| Fax Number : | 408-347-2192 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902917594 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Aug, 2006 |
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| Last Updated On : | 10 Oct, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for La Crista Mazeke-kelley are as mentioned. Primary taxonomy code for La Crista Mazeke-kelley, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A55457 | CA |
Legacy Identifiers:
Other legacy medical identifiers of La Crista Mazeke-kelley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A554570 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 400 Race St
San Jose, CA, 95126-3518
United States |
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| Phone Number : | 408-278-3000 |
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Business Location:
Patients can refer following map for directions to
La Crista Mazeke-kelley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.