Organization Active NPI

Keller Veins Medical Corporation

  • Phlebology Physician
  • Monterey, CA
National Provider Identifier
1497197149
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
G-29481 Issued in CA
Legal business name
KELLER VEINS MEDICAL CORPORATION
Practice address
950 Cass St Ste B
Monterey, CA 93940-4547
Phone
(831) 373-1100
Fax
(831) 373-1630
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Robert P.K. Keller, M.D.
Title
President
Phone
(831) 373-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X G-29481 CA Primary

Addresses

Primary practice location

950 Cass St Ste B
Monterey, CA 93940-4547

Mailing address

950 Cass St Ste B
Monterey, CA 93940-4547
Phone (831) 373-1100

National Provider Directory

National Provider Directory

Locations

950 Cass St
Ste B
Monterey, CA 93940
Phone (831) 373-1100

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1497197149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 CASS ST STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404547",
            "telephone_number": "831-373-1100",
            "fax_number": "831-373-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CASS ST STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404547",
            "telephone_number": "831-373-1100",
            "fax_number": "831-373-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER VEINS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P.K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-373-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "CA",
            "license": "G-29481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.