IndividualActive
Susan Kelly
NPI 1235310061 · Specialist · Modesto, CA
Susan Kelly is a Specialist provider in Modesto, CA (NPI 1235310061).
Provider details
- NPI number
- 1235310061
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1601 Yosemite Blvd
Suite a
Modesto, CA 95354-2800
Phone: (209) 341-1824
Fax: (209) 523-1296
Street-level locationGet directions
Mailing address
3709 Bridgeford Ln
Modesto, CA 95356-1658
Registry dates
- Enumerated
- 2007-11-20
- Last updated
- 2007-11-20
Frequently asked questions
- What is Susan Kelly's NPI number?
- Susan Kelly's National Provider Identifier (NPI) is 1235310061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Kelly's specialty?
- Susan Kelly is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Susan Kelly located?
- Susan Kelly's practice location on file with NPPES is 1601 Yosemite Blvd, Modesto, CA 95354-2800.
- What is Susan Kelly's phone number?
- The practice phone number listed in the NPPES registry for Susan Kelly is (209) 341-1824.
- Is Susan Kelly's NPI active?
- Yes — Susan Kelly's NPI (1235310061) is active in the NPPES registry as of the last update on 2007-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.