Keegan Autachi Duchicela, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A106408 Issued in CA

Practice address

11310 Merritage CT
San Diego, CA 92131-4232

Phone

(858) 201-4522

NPI assigned

Mar 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Family Medicine Associates of San Jose Inc

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1932268109
  NPD (past)
• Mochi Medical Ca PC

  • Obesity Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1174303374
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1053552075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 MERRITAGE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921314232",
            "telephone_number": "650-269-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 MERRITAGE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921314232",
            "telephone_number": "858-201-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHICELA",
        "first_name": "KEEGAN",
        "middle_name": "AUTACHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A106408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Lashawn Dubose
• Darci Dubose, DPT
• Janette Linor Dubski, RN, PHN
• Duc Dinh Vo, MD. Inc
• Nicola Louise Ducharme, N.D.
• Diedra Ann Duchock, PHD
• Lisa Marie Duchow
• Kimberly Ducker
• Georga Ann Ducklow, PHARMD
• Heather M Ducksworth, LCSW

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.