Stevan Keram, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A49996 Issued in CA

Practice address

1160 N Dutton Ave
Suite 255
Santa Rosa, CA 95401-4671

Phone

(707) 526-8800

Fax

(707) 526-8886

NPI assigned

Feb 6, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1003094533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N DUTTON AVE",
            "address_2": "SUITE 255",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014600",
            "telephone_number": "707-526-8800",
            "fax_number": "707-526-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N DUTTON AVE",
            "address_2": "SUITE 255",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014671",
            "telephone_number": "707-526-8800",
            "fax_number": "707-526-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERAM",
        "first_name": "STEVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A49996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Kenney, PHARM.D.
• Scott Kensinger, MS, CCC-SLP
• Anna Kenyon, RN
• Kari Kenyon, AOD COUNSELOR
• Emily Keram, M.D.
• Chris Everett Kerger, C.P.
• Keri Gnanashanmugam Licensed Clinical Social Worker Inc.
• Katie Jo Keridan, PSY.D.
• Leah Eichenholz Kermish-Wells, LMFT
• Keila Marina Kerns

• Psychiatry Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.