Shira Amitai Keri, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A72466 Issued in CA

Practice address

2180 Garnet Ave Ste 2E
San Diego, CA 92109-3675

Phone

(858) 337-4469

Fax

(858) 777-5555

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 7, 2013 through Aug 7, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1356407001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8677 VILLA LA JOLLA DR # 205",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372354",
            "telephone_number": "858-337-4469",
            "fax_number": "858-777-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 GARNET AVE STE 2E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093675",
            "telephone_number": "858-337-4469",
            "fax_number": "858-777-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERI",
        "first_name": "SHIRA",
        "middle_name": "AMITAI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-04-19",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A72466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Marie Keresztesy, DO
• Keri KM Dental Group, a Professional Group
• Keri Sebourn Individual and Family Therapy Inc
• Keri Silva DDS, Inc.
• Jason Shammuel Keri, MD
• Arda Kerleshi, PHARM.D
• Raphael Moshe Kermani
• Zohreh Kermani, PSY.D
• Bridget Suzanne Kermorris
• Sequoia Kermott

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.