Individual provider Active NPI

Danny Lee Keiller, M.D.

  • Urology Physician
  • San Diego, CA
National Provider Identifier
1346356961
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C32092 Issued in CA
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

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00C320920MedicaidCA
GR0043510OtherCAMEDICAID GROUP PROVIDER
WC32092GOtherCAPPIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000961 CA Practitioner - Urology 6507826245 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C32092CAMDUrology Physician
32092CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC Urology CurrentSince Apr 1, 2011 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 1, 2007 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Oct 4, 2009 Accepting new patients
Scripps Health CurrentSince Oct 4, 2009 Accepting new patients
Scripps Health Current Accepting new patients
Genesis Healthcare Partners, PC PastSince Jan 12, 2025 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

  • Direct secure messaging: dannykeiller@ghp.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.