Kelly Broderick, M.D.
Diagnostic Ultrasound Physician · San Mateo, CA
Kelly Broderick, M.D. is a diagnostic ultrasound physician with a practice address in San Mateo, California, and NPI 1609821891, issued on May 24, 2006. Check the license (California G78759, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Kelly Broderick
- Credential
- M.D.
- Primary taxonomy
- Diagnostic Ultrasound Physician 2085U0001X
- License number
- G78759 CA
Self-reported in NPPES; status is on the state search - Practice location
- 100 S San Mateo Dr, San Mateo, CA 94401
- Phone
- (650) 696-4515
- Enumerated
- May 24, 2006
- Entity
- Type 1 · individual
Also registered at 100 S San Mateo Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Frederick Adler, M.D.Family Medicine Physician1629030515
- Avanti Ambekar, M.D.Neuroradiology Physician1356447627
- Mandeep Bajwa, M.D.Family Medicine Physician1891083978
- Harriet Borofsky, M.D.Diagnostic Radiology Physician1033162912
- Joey CheungRadiological Physics Physician1154256493
- Diana Emerson, N.PNurse Practitioner1194836494
Verify Kelly Broderick in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license G78759Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
3 hospital and facility affiliations
- California Advanced Imaging Medical Associates IncBurlingame, CA
- County OF San MateoSan Mateo, CA
- Sutter Bay Medical FoundationBurlingame, CA
Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Diagnostic Ultrasound Physician providers in California
There are 69 diagnostic ultrasound physician records in California.
Other diagnostic ultrasound physician records in California
- Bahjat AlnajjarSan Jose, CA1851870927
- Bassam AlteirElk Grove, CA1346967817
- Syuzanna Arakelyan, RDMSGlendale, CA1508636424
- Kathryn Arno, RDMS RVT RDCSRoseville, CA1932820032
- Tatevik BalasanyanSherwood Forest, CA1194392076
- Annverda Branson, RDMSCarson, CA1285371096
- Jillian Caceres, RDMSRiverside, CA1215817754
- Norman Chen, MDSan Diego, CA1700850815
- Michael Crade, M.D.Long Beach, CA1295841930
- Michelle DadiganForesthill, CA1497332910
Common questions
What is Kelly Broderick, M.D.'s NPI number?
Kelly Broderick, M.D.'s National Provider Identifier (NPI) is 1609821891, issued on May 24, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Broderick, M.D. located?
The NPPES record lists a practice address at 100 S San Mateo Dr, San Mateo, CA, 94401. Phone: (650) 696-4515. Providers update this record themselves, so call before visiting.
How can I verify Kelly Broderick, M.D.'s license?
NPPES lists California license number G78759, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.