Individual provider Active NPI

Aiden Nathaniel Keller

  • Speech-Language Pathologist
  • San Leandro, CA
National Provider Identifier
1386576437
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
368 Juana Ave
San Leandro, CA 94577-4811
Phone
(510) 357-4015
NPI assigned
Jun 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

368 Juana Ave
San Leandro, CA 94577-4811

Mailing address

9880 NE Gibbs Dr Apt 427
Beaverton, OR 97006-7084
Phone (907) 545-4794

Other practice location 1

494 Blossom Way
Cherryland, CA 94541-1948
Phone (510) 582-7676

Other practice location 2

1475 Bancroft Ave
San Leandro, CA 94577-5105
Phone (510) 483-1680

Other practice location 3

524 Callan Ave
San Leandro, CA 94577-4610
Phone (510) 483-6200

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

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1386576437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 NE GIBBS DR APT 427",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067084",
            "telephone_number": "907-545-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 JUANA AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774811",
            "telephone_number": "510-357-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "494 Blossom Way",
            "address_purpose": "LOCATION",
            "city": "Cherryland",
            "state": "CA",
            "postal_code": "945411948",
            "country_code": "US",
            "telephone_number": "510-582-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Bancroft Ave",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945775105",
            "country_code": "US",
            "telephone_number": "510-483-1680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "524 Callan Ave",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774610",
            "country_code": "US",
            "telephone_number": "510-483-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "AIDEN",
        "middle_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.