Individual provider Active NPI

Lisa Kay Keller, MD

  • Obstetrics & Gynecology Physician
  • Davis, CA
National Provider Identifier
1497780795
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G38545 Issued in CA
Practice address
2000 Sutter PL
Davis, CA 95616-6201
Phone
(530) 757-5111
Fax
(916) 887-1138
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G38545 CA Primary
Obstetrics & Gynecology Physician 207V00000X MD27247 OR

Addresses

Primary practice location

2000 Sutter PL
Davis, CA 95616-6201

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other practice location 1

940 Royal Avenue
Suite 350
Medford, OR 97504-6194
Phone (541) 732-7460

Other practice location 2

675 N 5th St Ste 200
Lebanon, OR 97355-2875
Phone (541) 451-6282

Other identifiers 1

IdentifierTypeStateIssuer
00G385451MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkellercontractstaff243169@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031211000567 CA Practitioner - Obstetrics/Gynecology 6709782592 Reassigns benefits to 3 organizations
I20070404000082 OR Practitioner - Obstetrics/Gynecology 6709782592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G38545CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan North Lincoln Hospital Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Aug 12, 2022 Accepting new patients
Providence Medical Foundation CurrentSince Apr 3, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Aug 12, 2022 Accepting new patients
Providence Medical Foundation CurrentSince Apr 3, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Mid-Valley Healthcare, Inc. Past Accepting new patients
Albany General Hospital Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients
Providence Medical Foundation Obstetrics & Gynecology Past Accepting new patients

Locations

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

Interoperability endpoints

  • Direct secure messaging: lkeller1657888@oc.providencedirect.org
  • Direct secure messaging: lkeller226444@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1497780795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071",
            "fax_number": "916-854-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SUTTER PL",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166201",
            "telephone_number": "530-757-5111",
            "fax_number": "916-887-1138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Royal Avenue",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046194",
            "country_code": "US",
            "telephone_number": "541-732-7460",
            "fax_number": "541-732-7461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 N 5th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552875",
            "country_code": "US",
            "telephone_number": "541-451-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LISA",
        "middle_name": "KAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G38545",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD27247",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G385451",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkellercontractstaff243169@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "675 N 5th St Ste 200",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973552875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.