Jay A. Keystone, M.D.

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

C29865 Issued in CA

Practice address

365 Evergreen Dr
Vacaville, CA 95688-2136

Phone

(707) 446-8581

Fax

(707) 446-8581

NPI assigned

Dec 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Michigan Medical School, 1970

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1306115001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 EVERGREEN DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882136",
            "telephone_number": "707-446-8581",
            "fax_number": "707-446-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 EVERGREEN DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882136",
            "telephone_number": "707-446-8581",
            "fax_number": "707-446-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYSTONE",
        "first_name": "JAY",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-26",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "C29865",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C29865",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "C29865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth M Hunter DDS, Jill H Hunter DDS, Apc
• Jeffrey Harlan Kent
• Andrew Timothy Keown, MD
• Thomas Winfield Keown, MD
• Joshua Bryce Kessack, D.O.
• Shanaz Khambatta, D.O.
• Shaheem Khan, LCSW
• Alexa Khersonsky, M.D.
• David Khlok, RCP, RRT
• Sam F Khoury, D.M.D

• Allergy & Immunology (Internal Medicine) Physician in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Allergy & Immunology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.