William Keson Khieu, MD, Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WILLIAM KESON KHIEU, MD, PROFESSIONAL CORPORATION

Practice address

547 Front St
Soledad, CA 93960-3014

Phone

(831) 900-5110

Fax

(831) 900-5110

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Daniel Vargas

Title

Administration

Phone

(831) 386-6198

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1538748322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10627",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939127627",
            "telephone_number": "831-665-6084",
            "fax_number": "831-900-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 FRONT ST",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939603014",
            "telephone_number": "831-900-5110",
            "fax_number": "831-900-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM KESON KHIEU, MD, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-04-22",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "831-386-6198"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Villagomez, LMFT
• Christine A Vitale, LEP # 2726
• Jennifer Walther
• Wanjiru Waweru-Benson, LCSW
• Jennifer Marie Wheelhouse
• Devon Chisholm Willock, LCSW
• Emily Wisniewski, PSY.D.
• Matthew Wynn, PH.D.
• Jacqueline A Yanez
• Ann Thompson Yoshimura, PH.D.

• Clinic/Center in Soledad, CA
• Providers in Soledad, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.