Active NPI
Danny Lee Keiller, M.D.
- Urology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C32092
- Practice address
- 4033 3Rd Ave
Suite 400
San Diego, CA 92103-2117 - Phone
- (619) 299-0670
- Fax
- (858) 429-7929
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | C32092 | CA | Primary |
Addresses
Primary practice location
4033 3Rd Ave
Suite 400
San Diego, CA 92103-2117
Mailing address
PO Box 33865
San Diego, CA 92163-3865
Phone (858) 888-7700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C320920 | Medicaid | CA | |
| GR0043510 | Other | CA | MEDICAID GROUP PROVIDER |
| WC32092G | Other | CA | PPIN |
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 |
|---|---|---|---|
| C32092 | CA | MD | Urology Physician |
| 32092 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Healthcare Partners PC | Urology | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Genesis Healthcare Partners, PC | Past | Accepting new patients | |
| Evan M Vapnek MD & James L Roberts MD, a Medical Group | Urology | Past | Accepting new patients |
Locations
752 Medical Center Ct
Ste 101
Chula Vista, CA 91911
Phone (619) 397-4500
230 Prospect Pl
Coronado, CA 92118
Phone (619) 522-3600
320 Santa Fe Dr
Ste 108
Encinitas, CA 92024
Phone (760) 436-4558
9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
8851 Center Dr
Ste 501
La Mesa, CA 91942
Phone (619) 697-2456
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
4033 3rd Ave
San Diego, CA 92103
Phone (619) 297-5600
4060 4th Ave
Ste 310
San Diego, CA 92103
Phone (619) 297-4707
3444 Kearny Villa Rd
Ste 202
San Diego, CA 92123
Phone (858) 429-7646
3444 Kearny Villa Rd
Ste 201
San Diego, CA 92123
Phone (858) 430-1101
11770 Bernardo Plaza Ct
Ste 270
San Diego, CA 92128
Phone (858) 485-0554
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
4033 3rd Ave
Ste 400
San Diego, CA 92103
Phone (619) 299-0670
4060 4th Ave
San Diego, CA 92103
Phone (619) 298-9931
230 Prospect Pl
Ste 210
San Diego, CA 92118
Phone (619) 269-4747
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dannykeiller@ghp.allscriptsdirect.net
- danny.keiller.1@3663.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1275899072
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- La Jolla, CA
- NPI 1619108503
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Urology Physician
- San Diego, CA
- NPI 1346388097
-
- Non-Pharmacy Dispensing Site
- Downey, CA
- NPI 1134939713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1346356961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33865",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633865",
"telephone_number": "858-888-7700",
"fax_number": "858-888-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 3RD AVE",
"address_2": "SUITE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032117",
"telephone_number": "619-299-0670",
"fax_number": "858-429-7929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEILLER",
"first_name": "DANNY",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "C32092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C320920",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP PROVIDER",
"identifier": "GR0043510",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN",
"identifier": "WC32092G",
"state": "CA"
}
],
"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 Mar 18, 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.