Active NPI
McKinna Keizer
- Social Worker
- Anaheim, CA
National Provider Identifier
1386294601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 124379
- Practice address
- 5621 E Avenida de Vinedos
Anaheim, CA 92807-3837 - Phone
- (714) 329-2182
- NPI assigned
- Sep 18, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 124379 | CA | Primary |
Addresses
Primary practice location
5621 E Avenida de Vinedos
Anaheim, CA 92807-3837
Mailing address
5621 E Avenida de Vinedos
Anaheim, CA 92807-3837
Other practice location 1
501 N Crescent Way
Anaheim, CA 92801-5401
Phone (714) 404-3683
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 |
|---|---|---|---|
| 124379 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1386294601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5621 E AVENIDA DE VINEDOS",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5621 E AVENIDA DE VINEDOS",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073837",
"telephone_number": "714-329-2182"
}
],
"practiceLocations": [
{
"address_1": "501 N Crescent Way",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928015401",
"country_code": "US",
"telephone_number": "714-404-3683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEIZER",
"first_name": "MCKINNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "124379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.