Organization Active NPI

Edward Keating

  • Registered Nurse
  • Royal Oaks, CA
National Provider Identifier
1427346402
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
793501 Issued in CA
Legal business name
EDWARD KEATING
Practice address
21 Secondo Way
Royal Oaks, CA 95076-5414
Phone
(831) 728-0421
NPI assigned
Jul 12, 2011
Last updated
Jul 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Miss Maria Luz Pacheco, 793501
Title
R.N.
Phone
(831) 840-9051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 793501 CA Primary

Addresses

Primary practice location

21 Secondo Way
Royal Oaks, CA 95076-5414

Mailing address

16 Secondo Way
Royal Oaks, CA 95076-5415
Phone (831) 840-9051

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1427346402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SECONDO WAY",
            "city": "ROYAL OAKS",
            "state": "CA",
            "postal_code": "950765415",
            "telephone_number": "831-840-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SECONDO WAY",
            "city": "ROYAL OAKS",
            "state": "CA",
            "postal_code": "950765414",
            "telephone_number": "831-728-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD KEATING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LUZ",
        "authorized_official_title_or_position": "R.N.",
        "authorized_official_telephone_number": "831-840-9051",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "793501"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "793501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.