Active NPI
Patrick L Keller, MD
- Occupational Medicine Physician
- Livermore, CA
National Provider Identifier
1013972520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- C160186
- Practice address
- 7000 East Ave
Livermore, CA 94550-9698 - Phone
- (925) 424-2544
- Fax
- (925) 423-7967
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2006-1152 | NC | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 2006-01152 | NC | |
| Occupational Medicine Physician | 2083X0100X | C160186 | CA | Primary |
Addresses
Primary practice location
7000 East Ave
Livermore, CA 94550-9698
Mailing address
7000 East Ave
Livermore, CA 94550-9698
Phone (925) 424-2544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006-01152 | Other | NC | LICENSE |
| C160186 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-1152 | NC | MD | Family Medicine Physician |
| C160186 | CA | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1013972520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 EAST AVE",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945509698",
"telephone_number": "925-424-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 EAST AVE",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945509698",
"telephone_number": "925-424-2544",
"fax_number": "925-423-7967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "PATRICK",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2006-1152",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NC",
"license": "2006-01152",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "C160186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2006-01152",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "C160186",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.