Active NPI
Joanne Patricia Keenan, D.O.
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1043281074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A 8728
- Practice address
- 6719 Alvarado Rd
Suite 108
San Diego, CA 92120-5254 - Phone
- (619) 286-8804
- Fax
- (619) 286-2344
- NPI assigned
- Jan 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A 8728 | CA | Primary |
Addresses
Primary practice location
6719 Alvarado Rd
Suite 108
San Diego, CA 92120-5254
Mailing address
6719 Alvarado Rd
Suite 108
San Diego, CA 92120-5254
Phone (619) 286-8804
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A 8728 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1043281074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6719 ALVARADO RD",
"address_2": "SUITE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205254",
"telephone_number": "619-286-8804",
"fax_number": "619-286-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6719 ALVARADO RD",
"address_2": "SUITE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205254",
"telephone_number": "619-286-8804",
"fax_number": "619-286-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENAN",
"first_name": "JOANNE",
"middle_name": "PATRICIA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-28",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A 8728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.