Individual provider Active NPI

James John MC Keith, M.D.

  • Emergency Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1033153267
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q0792 Issued in TX
Practice address
1165 Montgomery Dr
Santa Rosa Memorial Hospital
Santa Rosa, CA 95405-4801
Phone
(707) 525-5207
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q0792 TX Primary
Emergency Medicine Physician 207P00000X G77714 CA

Addresses

Primary practice location

1165 Montgomery Dr
Santa Rosa Memorial Hospital
Santa Rosa, CA 95405-4801

Mailing address

1435 Great Heron Dr
Santa Rosa, CA 95409-4359
Phone (707) 538-4419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150415001102 TX Practitioner - Emergency Medicine 2163494063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barrier Reef Emergency Physicians PLLCGroup PAC ID 4789738360, 30 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-0100
Phone (954) 939-5000

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77714CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barrier Reef Emergency Physicians PLLC Emergency Medicine CurrentSince Nov 1, 2015 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Nov 9, 2014 Accepting new patients
Texan Star Emergency Physicians PLLC Emergency Medicine CurrentSince May 2, 2017 Accepting new patients

Locations

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1033153267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 GREAT HERON DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094359",
            "telephone_number": "707-538-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MONTGOMERY DR",
            "address_2": "SANTA ROSA MEMORIAL HOSPITAL",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054801",
            "telephone_number": "707-525-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC KEITH",
        "first_name": "JAMES",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q0792",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G77714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.