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

Nicole C. Kelleher, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1972946747

Nicole C. Kelleher, MD is a Physical Medicine and Rehabilitation in Northridge, California. Graduated from University of Virginia School of Medicine in 2013, 13 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
University of Virginia School of Medicine
Licensed in
CA
In the registry since
2013
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

18460 Roscoe Blvd Fl 2
Northridge, CA 91325-4107
Phone: (818) 885-5480
Fax: (818) 993-1917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence A165046 (CA)

Record details

NPI number1972946747
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2013
Last updated in NPPESApril 1, 2023
Certification dateApril 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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