Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jason P Kellogg, MD

Individual provider Psychiatry Physician · NPI 1952331530

Dr. Jason P Kellogg, MD is a Psychiatry in Irvine, California. Graduated from Wright State University Boonshoft School of Medicine in 1997, 29 years ago. Practices with Progeny Psychiatric Clinic a Medical Corporation, a 33-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
29
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17782 Cowan Ste A
Irvine, CA 92614-6030
Phone: (949) 722-7118
Fax: (949) 722-7119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A66130 (CA)

Record details

NPI number1952331530
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESJune 23, 2017
Mailing address17782 Cowan, Ste A, Irvine, CA 92614

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Progeny Psychiatric Clinic A Medical Corporation — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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