Kellie D. Curtis, MD

Radiology, Diagnostic Radiology in Northridge, CA. Individual provider (NPI-1).

NPI number1104985845

StatusActive

Last updated in NPPESApr 3, 2024

Details

NPI: 1104985845
Entity type: Individual (NPI-1)
Name: Kellie D. Curtis
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Dec 8, 2006
Certification date: Apr 3, 2024
Last updated: Apr 3, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	A96199	CA	Yes
208600000X	Surgery	A96199	CA

Practice location

18436 Roscoe Blvd
Northridge, CA 91325-4107

Phone 818-435-1400 · Fax 818-435-1492

Mailing address

4100 Guardian St Ste 205
Simi Valley, CA 93063-6721

Phone 855-504-4544 · Fax 805-577-2018

Other practice locations

4760 W Sunset Blvd
Los Angeles, CA 90027-6063

Phone 323-783-4011

Is something wrong?

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Other Diagnostic Radiology Physician providers in Northridge, CA

All 17 Diagnostic Radiology Physician providers in Northridge · All 3,607 providers in Northridge

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