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

Kevin M. Kelly Jr.

Individual provider Emergency Medicine Physician · NPI 1811924764

Kevin M. Kelly Jr. is an Emergency Medicine in LA Mesa, California. Graduated from University of California, Geffen School of Medicine in 1998, 28 years ago. Practices with San Diego Emergency Physicians Inc, a 37-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2006

Practice location Address checks out

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone: (619) 644-4401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A71711 (CA)

Record details

NPI number1811924764
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESAugust 26, 2008

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice San Diego Emergency Physicians Inc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Mesa