Individual provider Active NPI

Keene Arthur Roadman, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • San Diego, CA
National Provider Identifier
1114501178
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001885 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
NPI assigned
May 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP61223109 WA
Certified Registered Nurse Anesthetist 367500000X 95001885 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410
Phone (800) 926-8273

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

Other practice location 2

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 514-2000

Other practice location 3

2211 NE 139th St
Vancouver, WA 98686-2742
Phone (360) 828-5396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220322001370 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395143549 Reassigns benefits to 2 organizations
I20230206001935 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395143549 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Gabriel Anesthesia Associates, PCGroup PAC ID 3678720604, 16 clinicians
Samantha Polikowski Anesthesia IncGroup PAC ID 1951742543, 36 clinicians
Synergy Orthopedic Specialists IncGroup PAC ID 0941450498, 66 clinicians

Practice addresses (Care Compare)

288 N Santa Anita Ave
Suite 404
Arcadia, CA 91006-3183
Phone (626) 300-5300

835 3Rd Ave
Suite a
Chula Vista, CA 91911-1352
Phone (619) 425-7755

9095 Rio San Diego Dr
Suite 100
San Diego, CA 92108-1680
Phone (619) 819-4524

Hospital & facility affiliations

  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
95001885CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. CurrentSince Aug 28, 2025 Accepting new patients
Samantha Polikowski Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2024 Accepting new patients
Regents of the University of California Nurse Anesthetist, Certified Registered CurrentSince Dec 27, 2022 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Aug 28, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2022 Accepting new patients
San Gabriel Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince May 23, 2025 Accepting new patients
Concierge Anesthesia CurrentSince Jul 1, 2024 Accepting new patients
Regents of the University of California CurrentSince Dec 27, 2022 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations (25 of 29)

288 N Santa Anita Ave
Ste 404
Arcadia, CA 91006
Phone (626) 289-2223

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670

3903 Waring Rd
Oceanside, CA 92056
Phone (760) 724-3293

44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411

3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

8705 Complex Dr
Ste 202
San Diego, CA 92123
Phone (858) 302-2502

9095 Rio San Diego Dr
Ste 100
San Diego, CA 92108
Phone (619) 819-4524

816 E Enos Dr
Ste B
Santa Maria, CA 93454
Phone (805) 347-7813

4472 Broad St
Ste 150
Sn Luis Obisp, CA 93401
Phone (805) 364-8450

41900 Winchester Rd
Temecula, CA 92590

3180 Willow Ln
Ste 118
Thousand Oaks, CA 91361
Phone (805) 766-6319

696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

9800 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2457

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

Organizations & group practices 11

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1114501178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410",
            "telephone_number": "800-926-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643200",
            "country_code": "US",
            "telephone_number": "360-514-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 NE 139th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862742",
            "country_code": "US",
            "telephone_number": "360-828-5396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROADMAN",
        "first_name": "KEENE",
        "middle_name": "ARTHUR",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61223109",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001885",
            "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 Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.