Active NPI
Keith Noonan, D.O.
- Psychiatry Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A14757
- Practice address
- 303 E Vanderbilt Way
San Bernardino, CA 92415 - Phone
- (909) 347-1300
- Fax
- (909) 347-1302
- NPI assigned
- Jun 24, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2014020579 | MO | |
| Psychiatry Physician | 2084P0800X | 20A14757 | CA | Primary |
Addresses
Primary practice location
303 E Vanderbilt Way
San Bernardino, CA 92415
Mailing address
303 E Vanderbilt Way
San Bernardino, CA 92415-0026
Phone (909) 388-0810
Other practice location 1
932 E 34th St
Joplin, MO 64804-3932
Phone (417) 347-7600
Other practice location 2
18818 US Highway 18
Apple Valley, CA 92307-2323
Phone (760) 995-8800
Other practice location 3
17053 Foothill Blvd
Fontana, CA 92335-3574
Phone (909) 347-1300
Other practice location 4
1841 E Main St
Barstow, CA 92311-3234
Phone (760) 255-5700
Other practice location 5
12188 Hesperia Rd
Victorville, CA 92395-5822
Phone (760) 477-2199
Other practice location 6
820 E Gilbert St
San Bernardino, CA 92415-0928
Phone (909) 387-7200
Other practice location 7
2940 Inland Empire Blvd
Ontario, CA 91764-4898
Phone (909) 458-1350
Other practice location 8
850 E Foothill Blvd
Rialto, CA 92376-5230
Phone (909) 421-9301
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
- Psychiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17053 Foothill Blvd
BLDG B
Fontana, CA 92335-3574
Phone (909) 347-1300
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14757 | CA | MD | Acupuncturist |
| 20A14757 | CA | MD | Psychiatry Physician |
| 2014020579 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | Current | Accepting new patients | |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients | |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| County of San Bernardino | Current | Accepting new patients | |
| Valley Star Behavioral Health, Inc. | Past | Accepting new patients | |
| Valley Star Behavioral Health, Inc. | Past | Accepting new patients |
Locations
18818 US Highway 18
Apple Valley, CA 92307
Phone (760) 995-8800
1841 E Main St
Barstow, CA 92311
Phone (760) 255-5700
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
17053 Foothill Blvd
Bldg B
Fontana, CA 92335
Phone (909) 347-1300
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2940 Inland Empire Blvd
Ontario, CA 91764
Phone (909) 458-1350
850 E Foothill Blvd
Rialto, CA 92376
Phone (909) 421-9200
1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000
303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801
820 E Gilbert St
Sn Bernrdno, CA 92415
Interoperability endpoints
- knoonan138661@direct.llu.edu
Organizations & group practices 9
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.
-
- Psychiatry Physician
- Santa Maria, CA
- NPI 1538757232
-
dba Department of Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1164467023
-
- Psychiatry Physician
- Indio, CA
- NPI 1144195926
-
- Psychiatry Physician
- Colton, CA
- NPI 1306408000
-
dba Vista Community Counseling
- Community/Behavioral Health Agency
- Fontana, CA
- NPI 1033320940
-
dba Arrowhead Regional Medical Center
- General Acute Care Hospital
- Colton, CA
- NPI 1114091576
-
dba Apple Valley Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Apple Valley, CA
- NPI 1346950904
-
- Community/Behavioral Health Agency
- Downey, CA
- NPI 1396491973
-
- Licensed Psychiatric Technician
- Colton, CA
- NPI 1558849141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1508271982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E VANDERBILT WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924150026",
"telephone_number": "909-388-0810",
"fax_number": "909-890-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E VANDERBILT WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92415",
"telephone_number": "909-347-1300",
"fax_number": "909-347-1302"
}
],
"practiceLocations": [
{
"address_1": "932 E 34th St",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648043932",
"country_code": "US",
"telephone_number": "417-347-7600",
"fax_number": "417-347-9810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18818 US Highway 18",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "CA",
"postal_code": "923072323",
"country_code": "US",
"telephone_number": "760-995-8800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17053 Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "923353574",
"country_code": "US",
"telephone_number": "909-347-1300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1841 E Main St",
"address_purpose": "LOCATION",
"city": "Barstow",
"state": "CA",
"postal_code": "923113234",
"country_code": "US",
"telephone_number": "760-255-5700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12188 Hesperia Rd",
"address_purpose": "LOCATION",
"city": "Victorville",
"state": "CA",
"postal_code": "923955822",
"country_code": "US",
"telephone_number": "760-477-2199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 E Gilbert St",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924150928",
"country_code": "US",
"telephone_number": "909-387-7200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2940 Inland Empire Blvd",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917644898",
"country_code": "US",
"telephone_number": "909-458-1350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 E Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Rialto",
"state": "CA",
"postal_code": "923765230",
"country_code": "US",
"telephone_number": "909-421-9301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOONAN",
"first_name": "KEITH",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-24",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2014020579",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A14757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.