Active NPI
Lauren P Keller, DO
- Dermatology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20A13001
- Practice address
- 1495 River Park Dr Ste 200
Sacramento, CA 95815-4517 - Phone
- (916) 925-7020
- Fax
- (916) 925-3680
- NPI assigned
- Jul 11, 2012
- Last updated
- Apr 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | UO3194 | FL | |
| Dermatology Physician | 207N00000X | 20A13001 | CA | Primary |
Addresses
Primary practice location
1495 River Park Dr Ste 200
Sacramento, CA 95815-4517
Mailing address
1495 River Park Dr Ste 200
Sacramento, CA 95815-4517
Phone (916) 925-7020
Other practice location 1
2025 Indian Rocks Rd S
Largo, FL 33774-1035
Phone (727) 586-7103
Other practice location 2
2050 Blue Oaks Blvd
Roseville, CA 95747
Phone (916) 910-2500
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Touro Un College of Osteopathic Medicine, Vallejo, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7447 Antelope Rd
Suite 103
Citrus Heights, CA 95621-2064
Phone (916) 409-6210
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.34 of 100
- Quality
- 85.99
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 77.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 41 |
| Skin biopsy | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13001 | CA | MD | Dermatology Physician |
| UO3194 | FL | MD | Dermatology Physician |
| 13001 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artius Dermatology Associates, P.C. | Dermatology | Current | Accepting new patients |
| Sacramento Sierra Dermatology PC | Dermatology | Current | Accepting new patients |
| Community Hospice, Inc. | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
9500 Stockdale Hwy
Ste 101
Bakersfield, CA 93311
Phone (661) 326-7536
774 East Ave
Chico, CA 95926
Phone (530) 774-2650
7447 Antelope Rd
Ste 103
Citrus Hts, CA 95621
Phone (310) 980-9580
296 Cottage Ave
Manteca, CA 95336
Phone (209) 239-2901
573 W Putnam Ave
Porterville, CA 93257
Phone (559) 627-9901
2431 W March Ln
Ste 100
Stockton, CA 95207
Phone (209) 477-6300
5757 Pacific Ave
Ste 228
Stockton, CA 95207
Phone (209) 490-5050
3827 N 10th St
Ste 305
McAllen, TX 78501
Phone (956) 682-9894
Interoperability endpoints
- lkeller427068@hisp.ehr.sutterhealth.org
Organizations & group practices 4
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.
-
- Dermatology Physician
- Citrus Heights, CA
- NPI 1457239758
-
dba Lux Dermatology
- Dermatology Physician
- Hanford, CA
- NPI 1245782291
-
- Community Based Hospice Care Agency
- Modesto, CA
- NPI 1043326531
-
dba Sutter North Surgery Center
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1477818938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 RIVER PARK DR STE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154517",
"telephone_number": "916-925-7020",
"fax_number": "916-925-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 RIVER PARK DR STE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154517",
"telephone_number": "916-925-7020",
"fax_number": "916-925-3680"
}
],
"practiceLocations": [
{
"address_1": "2025 Indian Rocks Rd S",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337741035",
"country_code": "US",
"telephone_number": "727-586-7103",
"fax_number": "727-585-7205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2050 Blue Oaks Blvd",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "95747",
"country_code": "US",
"telephone_number": "916-910-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLER",
"first_name": "LAUREN",
"middle_name": "P",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "UO3194",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "20A13001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.