Active NPI
Ryan Keller
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1316893449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 158270
- Practice address
- 1370 Brea Blvd Ste 245
Fullerton, CA 92835-4173 - Phone
- (714) 451-0791
- NPI assigned
- Mar 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 158270 | CA | Primary |
Addresses
Primary practice location
1370 Brea Blvd Ste 245
Fullerton, CA 92835-4173
Mailing address
26741 Portola Pkwy # 1E304
Foothill Ranch, CA 92610-1743
Phone (949) 607-8767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158270 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1316893449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26741 PORTOLA PKWY # 1E304",
"city": "FOOTHILL RANCH",
"state": "CA",
"postal_code": "926101743",
"telephone_number": "949-607-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 BREA BLVD STE 245",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354173",
"telephone_number": "714-451-0791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-10",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "158270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.