Active NPI
Rhonda M. Keosheyan, M.D.
- Hospitalist Physician
- Madera, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A68656
- Practice address
- 9300 Valley Childrens PL # GW12
Madera, CA 93636-8761 - Phone
- (559) 353-5068
- Fax
- (559) 353-5426
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A68656 | CA | |
| Hospitalist Physician | 208M00000X | A68656 | CA | Primary |
Addresses
Primary practice location
9300 Valley Childrens PL # GW12
Madera, CA 93636-8761
Mailing address
9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone (559) 353-5068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336196849 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68656 | CA | MD | Pharmacist |
| A68656 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Children'S Medical Group | Pediatrics | Current | Accepting new patients |
| Valley Children'S Specialty Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
| Valley Children'S Hospital | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Valley Children'S Hospital | Past | Accepting new patients |
Locations
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700
9300 Valley Childrens Pl
#12
Madera, CA 93636
Phone (559) 353-5068
1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880
Interoperability endpoints
- rkeosheyan15884@valleychildrens-prd.direct-ci.com
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Children's Hospital
- Madera, CA
- NPI 1700949336
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
-
- Pediatrics Physician
- Madera, CA
- NPI 1013968296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1336196849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL # SC05",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-5068",
"fax_number": "559-353-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL # GW12",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-5068",
"fax_number": "559-353-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOSHEYAN",
"first_name": "RHONDA",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A68656",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A68656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336196849",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.