Individual provider Active NPI

Johnna Lee Keh, PA-C

  • Medical Physician Assistant
  • Burbank, CA
National Provider Identifier
1508009655
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA18700 Issued in CA
Practice address
501 S Buena Vista St Ste 100
Burbank, CA 91505-4809
Phone
(818) 848-6404
Fax
(818) 525-5148
NPI assigned
Apr 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA18700 CA Primary

Addresses

Primary practice location

501 S Buena Vista St Ste 100
Burbank, CA 91505-4809

Mailing address

501 S Buena Vista St Ste 100
Burbank, CA 91505-4809
Phone (818) 848-6404

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000604 CA Practitioner - Physician Assistant 1355497199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Providence Facey Medical FoundationGroup PAC ID 3173436276, shared by 2 NPIs, 324 clinicians

Practice addresses (Care Compare)

Laguna Niguel, CA 92677

19950 Rinaldi St
Porter Ranch, CA 91326-4141
Phone (818) 403-2400

201 S Buena Vista St
Suite 100
Burbank, CA 91505-4570
Phone (818) 848-6404

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 847-3022

Hospital & facility affiliations

  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
18700CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Feb 12, 2023 Accepting new patients
Providence Medical Institute CurrentSince Feb 12, 2023 Accepting new patients
Providence Medical Institute Past Accepting new patients

Locations

501 S Buena Vista St
Ste 100
Burbank, CA 91505

201 S Buena Vista St
Ste 100
Burbank, CA 91505
Phone (818) 848-6404

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1240012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1508009655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S BUENA VISTA ST STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054809",
            "telephone_number": "818-848-6404",
            "fax_number": "818-525-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BUENA VISTA ST STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054809",
            "telephone_number": "818-848-6404",
            "fax_number": "818-525-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEH",
        "first_name": "JOHNNA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-18",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA18700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.