Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kelly Carol Peng, DO

Individual provider Military Health Care Provider · NPI 1013280718

Dr. Kelly Carol Peng, DO is an Emergency Medicine in San Diego, California. Qualified in 2023, 3 years ago. Practices with Cook County, a 787-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

34800 Bob Wilson Drive Emergency Medicine Dept
San Diego, CA 92134-0001
Phone: (619) 532-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0102203540 (VA)
Military Health Care Provider Taxonomy 171000000X · Licence 0102203540 (VA)

Record details

NPI number1013280718
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 12, 2012
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cook County — 787 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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