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Kiely Blaise Combs

Student in an Organized Health Care Education/Training Program β€’ San Jose, CA

Active NPI 1619708088 Individual Practitioner Female Practitioner
Practice location in NPPES

1340 Tully Rd
San Jose, CA 951223055

Call 4082713900 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1340 Tully Rd

San Jose, CA 951223055

Telephone 4082713900
Organization at the Same NPPES Address or Phone
Prescription Headquarters Inc Facility NPI 1831104470

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in San Jose and California

677 active clinicians are listed under Student in an Organized Health Care Education/Training Program with a practice address in San Jose, CA (40,560 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Jose

1% of these 677 clinicians have the CMS telehealth indicator.

6.9% of these 677 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-14
Student in an Organized Health Care Education/Training Program Primary Specialty

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 14, 2026

Registered at 1340 TULLY RD, SAN JOSE, CA 951223055 (Tel: 4082713900)

πŸ“
Updated Business Mailing Address August 14, 2026

Registered at 1340 TULLY RD STE 301, SAN JOSE, CA 951223055

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2026

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active August 08, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 08, 2024

Registered at 8945 GOLF LINKS RD, OAKLAND, CA 946054124 (Tel: 5103171444)

πŸ“
Business Mailing Address (Initial Record) August 08, 2024

Registered at 8945 GOLF LINKS RD, OAKLAND, CA 946054124

πŸ‘€
Provider Name / Credentials (Initial Record) August 08, 2024

Recorded as KIELY COMBS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2024

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration August 08, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619708088
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2024
Last Update: August 14, 2026
Sole Proprietor: No

Other Student in an Organized Health Care Education/Training Programs in San Jose

All Student in an Organized Health Care Education/Training Programs in San Jose

Mailing Address

1340 Tully Rd Ste 301

San Jose, CA 951223055

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.