Individual provider Active NPI

Theodore James McKean, M.D.

  • Anesthesiology Physician
  • Santa Rosa, CA
National Provider Identifier
1598793309
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G84913 Issued in CA
Practice address
3325 Chanate Rd
Santa Rosa, CA 95404-1707
Phone
(707) 576-4000
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G84913 CA Primary
Anesthesiology Physician 207L00000X MD218710 OR

Addresses

Primary practice location

3325 Chanate Rd
Santa Rosa, CA 95404-1707

Mailing address

3325 Chanate Rd
Santa Rosa, CA 95404-1707
Phone (707) 573-4000

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3202
Phone (760) 340-3911

Other identifiers 1

IdentifierTypeStateIssuer
00G849130MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ND, OR, MI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070824000338 CA Practitioner - Anesthesiology 9234221029 Reassigns benefits to 5 organizations
I20240404002537 ND Practitioner - Anesthesiology 9234221029 Reassigns benefits to 1 organization
I20240521001822 OR Practitioner - Anesthesiology 9234221029 Reassigns benefits to 1 organization
I20250924003719 MI Practitioner - Anesthesiology 9234221029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Human Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

145 Michigan St NE
Grand Rapids, MI 49503-2562

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.03 of 100Reported as group
Quality
44.74
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as group
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.04

Merit-based Incentive Payment System (MIPS)

Final score
81.66 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G84913CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Sep 30, 2024 Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
First Choice Physician Partners CurrentSince Apr 13, 2020 Accepting new patients
Sanford Bismarck CurrentSince Mar 18, 2024 Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince Apr 1, 2007 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Anesthesia Associates Northwest LLC Anesthesiology CurrentSince Apr 12, 2024 Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Dec 5, 2023 Accepting new patients
Anesthesia Services of San Joaquin, P.C. Anesthesiology CurrentSince May 1, 2023 Accepting new patients
First Choice Physician Partners CurrentSince Apr 13, 2020 Accepting new patients
Oak Creek Anesthesia Services, Inc. Anesthesiology CurrentSince Oct 28, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Sanford Bismarck CurrentSince Mar 18, 2024 Accepting new patients

Locations (25 of 29)

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

3325 Chanate Rd
Santa Rosa, CA 95404
Phone (707) 576-4000

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

Organizations & group practices 16

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 16

Hospital & facility affiliations 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1598793309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 CHANATE RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041707",
            "telephone_number": "707-573-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 CHANATE RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041707",
            "telephone_number": "707-576-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703202",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "fax_number": "760-837-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEAN",
        "first_name": "THEODORE",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G84913",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD218710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G849130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.