Gina R Keelen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 27458 Issued in CA

Practice address

5 Bon Air Rd
E128
Larkspur, CA 94939-1143

Phone

(415) 924-7363

Fax

(415) 924-7399

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Podwojski Keelen Chiropractic CorporationGroup PAC ID 3476853532, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Podwojski Keelen Chiropractic Corporation

  • Chiropractor
  • Novato, CA
  • NPI 1467847277
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1215022025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 ROCKFIELD BLVD",
            "address_2": "B220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182720",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD",
            "address_2": "E128",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391143",
            "telephone_number": "415-924-7363",
            "fax_number": "415-924-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEN",
        "first_name": "GINA",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 27458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC27458",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Powell Jaffe, NP
• Regina Jarin
• Chris Kane
• Ann K. Kao, M.D.
• Brian G. Keeffe, M.D.
• Keith F Korver MD a Professional Medical Corporation
• Miranda Kelinske, PT
• Lauren Kenney
• John C. Keohane, M.D.
• Ernie Khim Jr.

• Chiropractor in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.