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Deactivated NPI 1285289470 Deactivated / Inactive NPI Female Practitioner

Dr. Sarah Kelly , MD

Behavior Analyst • Oakland, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sarah Kelly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2019
NPI Deactivation Date March 24, 2025
Total Practice Duration ~6 Years of Practice (2019 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Sarah Kelly, MD was a registered Behavior Analyst practicing in Oakland, CA. Throughout an active medical career spanning 6 years, Dr. Kelly provided care at the practice location at 747 52ND ST until profile deactivation on 2025-03-24.

Practice Location & Contact Primary Location

Practice Address

747 52nd St

Oakland, CA 946091809

Telephone 5104283331
Fax 5104283331
Associated Practice Facility / Clinic
🏢 Children's Clinic Pharmacy Facility NPI 1568459519

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Oakland, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
366 Specialists

Practicing in Oakland, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-06
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003344615

Doctor of Medicine (M.D.)

Dr. Marisella Garcia , MD

Student in an Organized Health Care Education/Training Program

NPI 1003557703

Doctor of Medicine (M.D.)

Sarah Durney

Student in an Organized Health Care Education/Training Program

NPI 1013546472
Dr. Sarah Wali , DO

Student in an Organized Health Care Education/Training Program

NPI 1023810660

Doctor of Osteopathic Medicine (D.O.)

Dr. Ciauna Tran , DO

Student in an Organized Health Care Education/Training Program

NPI 1033911102

Doctor of Osteopathic Medicine (D.O.)

Dr. Brady Johnson , MD, MPHTM

Student in an Organized Health Care Education/Training Program

NPI 1033961255

Doctor of Medicine (M.D.), MPHTM

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location October 06, 2025

Registered at 747 52ND ST, OAKLAND, CA 946091809 (Tel: 5104283331)

📍
Updated Business Mailing Address October 06, 2025

Registered at 747 52ND ST, OAKLAND, CA 946091809 (Tel: 5104283331)

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Provider Name / Credentials Updated October 06, 2025

Recorded as SARAH KELLY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2025

Student in an Organized Health Care Education/Training Program

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Updated Practice Location August 15, 2025

Registered at 400 MOBIL AVE STE A3, CAMARILLO, CA 930106369 (Tel: 8182416780)

📍
Updated Business Mailing Address August 15, 2025

Registered at 1055 E COLORADO BLVD STE 560, PASADENA, CA 911062380 (Tel: 8182416780)

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Provider Name / Credentials Updated August 15, 2025

Recorded as SARAH KELLY

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2025

Behavior Analyst

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NPI Profile Deactivated March 24, 2025

Record deactivated on March 24, 2025

NPI Profile Active August 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2019

Registered at 400 MOBIL AVE STE A3, CAMARILLO, CA 930106369 (Tel: 8182416780)

📍
Updated Business Mailing Address August 05, 2019

Registered at 1055 E COLORADO BLVD STE 560, PASADENA, CA 911062380 (Tel: 8182416780)

👤
Provider Name / Credentials Updated August 05, 2019

Recorded as SARAH KELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2019

Behavior Analyst

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Initial NPI Registration & Enumeration August 05, 2019

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: 1285289470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2019
Last Update: October 06, 2025
Deactivation Date: March 24, 2025
Sole Proprietor: No

Mailing Address

747 52nd St

Oakland, CA 946091809

Phone: 5104283331

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.