Organization Active NPI

Deborah L. Kerlin, M.D., Inc.

  • Surgery Physician
  • Walnut Creek, CA
National Provider Identifier
1053472381
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G54324 Issued in CA
Legal business name
DEBORAH L. KERLIN, M.D., INC.
Practice address
112 La Casa Via
Suite 340
Walnut Creek, CA 94598-3091
Phone
(925) 945-7600
Fax
(925) 945-7664
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Deborah Lynn Kerlin, M.D., F.A.C.S.
Title
Physician, President & Treasurer
Phone
(925) 945-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G54324 CA Primary

Addresses

Primary practice location

112 La Casa Via
Suite 340
Walnut Creek, CA 94598-3091

Mailing address

112 La Casa Via
Suite 340
Walnut Creek, CA 94598-3091
Phone (925) 945-7600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1053472381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA",
            "address_2": "SUITE 340",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983091",
            "telephone_number": "925-945-7600",
            "fax_number": "925-945-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA",
            "address_2": "SUITE 340",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983091",
            "telephone_number": "925-945-7600",
            "fax_number": "925-945-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH L. KERLIN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "KERLIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN, PRESIDENT & TREASURER",
        "authorized_official_telephone_number": "925-945-7600",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G54324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.