Individual provider Active NPI

Lauren P Keller, DO

  • Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1477818938
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A13001 Issued in CA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105002807 CA Practitioner - Dermatology 2062788524 Reassigns benefits to 2 organizations

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 100Reported as group
Quality
85.99
Promoting interoperability
89
Improvement activities
40
Cost
77.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions41
Skin biopsy18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A13001CAMDDermatology Physician
UO3194FLMDDermatology Physician
13001CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Artius Dermatology Associates, P.C. Dermatology CurrentSince Apr 8, 2025 Accepting new patients
Sacramento Sierra Dermatology PC Dermatology CurrentSince Sep 16, 2025 Accepting new patients
Community Hospice, Inc. PastSince Apr 8, 2025 Accepting new patients
Sutter North Medical Foundation PastSince Sep 16, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.