Individual provider Active NPI

Nivedita Keshav, MD

  • Pediatrics Physician
  • Mill Valley, CA
National Provider Identifier
1003556234
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A189166 Issued in CA
Practice address
591 Redwood Hwy Rd Ste 5215
Mill Valley, CA 94941-3016
Phone
(415) 381-5400
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A189166 CA Primary

Addresses

Primary practice location

591 Redwood Hwy Rd Ste 5215
Mill Valley, CA 94941-3016

Mailing address

757 Westwood Plaza Box 951752, 3108 Rrumc
Los Angeles, CA 90095-1752
Phone (310) 267-9132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804002645 CA Practitioner - Pediatric Medicine 1254849920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A189166CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Medical Foundation Pediatrics CurrentSince Jul 21, 2025 Accepting new patients
Golden Gate Pediatrics, a Medical Corporation Pediatrics Past Accepting new patients
University of California, San Francisco Past Accepting new patients

Locations

570 Price Ave
Ste 100
Redwood City, CA 94063
Phone (650) 327-1258

Interoperability endpoints

  • Direct secure messaging: nkeshav763637@hisp.ehr.sutterhealth.org
  • Direct secure messaging: nkeshav449091@direct-ucsfmedicalcenter.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1003556234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLAZA BOX 951752, 3108 RRUMC",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951752",
            "telephone_number": "310-267-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY RD STE 5215",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413016",
            "telephone_number": "415-381-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHAV",
        "first_name": "NIVEDITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A189166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.