Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780795476 Individual Practitioner Female Practitioner

Dr. Joyce Patricia Kellawon , MD

Internal Medicine • Alpine, CA

Professional Overview & Biography Verified Profile Summary

Dr. Joyce Kellawon, MD is a registered healthcare professional specializing in Internal Medicine in Alpine, CA. Practice services are available at 1620 ALPINE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, urinalysis, manual test, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1620 Alpine Blvd

Alpine, CA 919011102

Telephone 6194456200
Fax 6193203347
Associated Practice Facility / Clinic
🏢 Cynthia L Jackson Dds Ms Inc Facility NPI 1962511659

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Alpine, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Alpine, CA (18502 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
68 57 $14.41 $2.94
81002 Urinalysis, manual test
23 18 $15.00 $3.41
93000 Routine ekg using at least 12 leads including interpretation and report
16 16 $104.75 $18.18

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA C54522

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Jennifer Fritz , PsyD

Psychologist - Clinical

NPI 1013071497

Doctor of Psychology (Psy.D.)

Dr. Ruth Wang , MD, MED

Internal Medicine

NPI 1033791926

Doctor of Medicine (M.D.), Master of Education

Dr. Phu Luong Vo , DO

Family Medicine

NPI 1043849177

Doctor of Osteopathic Medicine (D.O.)

Dr. Jason Silva , MD

Family Medicine

NPI 1073587671

Doctor of Medicine (M.D.)

NPI 1114474509

Doctor of Chiropractic

Dr. Alexandra Higdon , PsyD

Psychologist - Clinical

NPI 1164071130

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location March 20, 2018

Registered at 1620 ALPINE BLVD, ALPINE, CA 919011102 (Tel: 6194456200)

📍
Updated Business Mailing Address March 20, 2018

Registered at 31115 HIGHWAY 94, CAMPO, CA 919063133 (Tel: 6194456200)

NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2017

Registered at 823 GATEWAY CENTER WAY, SAN DIEGO, CA 921024541 (Tel: 6195152300)

📍
Updated Business Mailing Address February 15, 2017

Registered at 823 GATEWAY CENTER WAY, SAN DIEGO, CA 921024541 (Tel: 6195152300)

👤
Provider Name / Credentials Updated February 15, 2017

Recorded as JOYCE KELLAWON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Internal Medicine (License #C54522 in CA)

NPI Profile Active August 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2014

Registered at 689 TANK FARM RD, SAN LUIS OBISPO, CA 934017077 (Tel: 8055411177)

📍
Updated Business Mailing Address August 21, 2014

Registered at 117 W BUNNY AVE, SANTA MARIA, CA 934582805 (Tel: 8057393474)

👤
Provider Name / Credentials Updated August 21, 2014

Recorded as JOYCE KELLAWON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2014

Internal Medicine (License #162321 in NY)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780795476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: March 20, 2018
Sole Proprietor: Yes

Mailing Address

31115 Highway 94

Campo, CA 919063133

Phone: 6194456200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.