Kelly Phommahaxay, M.D.
NPI 1770997173 · Family Medicine Physician · La Mesa, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Phommahaxay, M.D. is a Family Medicine Physician provider in La Mesa, CA (NPI 1770997173).
Provider details
- NPI number
- 1770997173
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 64 | 64 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 49 | 49 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 46 | 46 |
| Doxycycline Monohydrate | 43 | 43 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 41 | 41 |
| Cefadroxil | 38 | 38 |
| Ibuprofen |
Practice location
Mailing address
Additional practice locations (2)
- 330 N 8th Ave EDuluth, MN 55805-2024Phone: (218) 723-1112Fax: (218) 529-9120
- 1039 Montgomery StCuster, SD 57730-1304Phone: (605) 673-2229Fax: (605) 755-0707
Registry dates
- Enumerated
- 2014-06-13
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Frequently asked questions
- What is Kelly Phommahaxay's NPI number?
- Kelly Phommahaxay's National Provider Identifier (NPI) is 1770997173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Phommahaxay's specialty?
- Kelly Phommahaxay is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Phommahaxay located?
- Kelly Phommahaxay's practice location on file with NPPES is 8080 Parkway Dr, La Mesa, CA 91942-2104.
- What is Kelly Phommahaxay's phone number?
- The practice phone number listed in the NPPES registry for Kelly Phommahaxay is (619) 753-5115.
- Does Kelly Phommahaxay accept Medicare?
- Kelly Phommahaxay is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Phommahaxay's NPI active?
- Yes — Kelly Phommahaxay's NPI (1770997173) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.