Individual provider Active NPI

Christopher Tyler Key, PA-C

  • Physician Assistant
  • Walnut Creek, CA
National Provider Identifier
1396093902
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22499 Issued in CA
Practice address
122 La Casa Via Ste 120
Walnut Creek, CA 94598-3019
Phone
(925) 941-4058
NPI assigned
Aug 29, 2012
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA195199 OR
Physician Assistant 363A00000X PA22499 CA Primary

Addresses

Primary practice location

122 La Casa Via Ste 120
Walnut Creek, CA 94598-3019

Mailing address

1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121115000019 CA Practitioner - Physician Assistant 3678724994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4956
Phone (925) 308-8112

5161 Clayton Rd
Suite F
Concord, CA 94521-3157
Phone (925) 609-8282

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
22499CAMDGeneral Practice Dentistry
PA195199ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California CurrentSince Oct 1, 2012 Accepting new patients
Cep America-California CurrentSince Oct 1, 2012 Accepting new patients
John Muir Physician Network CurrentSince Feb 18, 2023 Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

122 La Casa Via
Ste 120
Walnut Creek, CA 94598
Phone (925) 941-4049

Interoperability endpoints

  • Direct secure messaging: ckey159755@ehr.johnmuirhealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1396093902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LA CASA VIA STE 120",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983019",
            "telephone_number": "925-941-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA195199",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.