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

Sean Kelley, MD

Individual provider Diagnostic Radiology Physician · NPI 1194144170

Sean Kelley, MD is a Diagnostic Radiology in Jackson, California. Qualified in 2014, 12 years ago. Practices with Michael P Sherman MD PHD a Medical Corporation, a 15-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 Mission Blvd
Jackson, CA 95642-2564
Phone: (209) 223-7500
Show map & directions

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

Additional practice locations (2)

  • 513 Parnassus Ave Ste S-261, San Francisco, CA 94143-2205 — (415) 476-1575
  • 50 N Medical Drive Slc Ut, Salt Lake City, UT 84132-0001 — (801) 581-7606

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A141999 (CA)

Record details

NPI number1194144170
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 7, 2014
Last updated in NPPESMay 27, 2021
Certification dateMay 16, 2021
Mailing address406 S Lexington Dr, Folsom, CA 95630-6879

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Michael P Sherman Md Phd A Medical Corporation — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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