Active NPI
Deborah Lynn Kerlin, M.D., F.A.C.S.
- Surgery Physician
- Walnut Creek, CA
National Provider Identifier
1568523892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G54324
- Practice address
- 112 La Casa Via
Suite 340
Walnut Creek, CA 94598-3091 - Phone
- (925) 945-7600
- Fax
- (925) 945-7664
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G54324 | CA | Primary |
Addresses
Primary practice location
112 La Casa Via
Suite 340
Walnut Creek, CA 94598-3091
Mailing address
365 Lennon LN
Suite 350
Walnut Creek, CA 94598-5910
Phone (925) 932-6330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1568523892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 LENNON LN",
"address_2": "SUITE 350",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945985910",
"telephone_number": "925-932-6330",
"fax_number": "925-932-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 LA CASA VIA",
"address_2": "SUITE 340",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983091",
"telephone_number": "925-945-7600",
"fax_number": "925-945-7664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERLIN",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"credential": "M.D., F.A.C.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G54324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.