Paul R. Keith MD a Medical Corporation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PAUL R. KEITH MD A MEDICAL CORPORATION

Practice address

11254 Florindo Rd
San Diego, CA 92127-1302

Phone

(619) 977-1898

Fax

(858) 674-7493

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Richard Keith, M.D.NPI 1134143167

Title

President

Phone

(619) 977-1898

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Richard Keith, M.D.

  • Specialist
  • San Diego, CA
  • NPI 1134143167
  NPD (past) Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104847250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11254 FLORINDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271302",
            "telephone_number": "619-977-1898",
            "fax_number": "858-674-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11254 FLORINDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271302",
            "telephone_number": "619-977-1898",
            "fax_number": "858-674-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R. KEITH MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-977-1898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.