Active NPI
Marshall Jay Keyes, M.D.
- Ophthalmology Physician
- Los Angeles, CA
National Provider Identifier
1598886533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G26695
- Practice address
- 1964 Westwood Blvd
Suite 110
Los Angeles, CA 90025-4651 - Phone
- (310) 446-1822
- Fax
- (310) 446-1362
- NPI assigned
- Apr 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G26695 | CA | Primary |
Addresses
Primary practice location
1964 Westwood Blvd
Suite 110
Los Angeles, CA 90025-4651
Mailing address
1964 Westwood Blvd
Suite 110
Los Angeles, CA 90025-4651
Phone (310) 446-1822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G266950 | Medicaid | CA |
Other names 1
- Marshall Jay Keyes, MD a Medical Corporation
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Ana Clinica Medica General Medical Center Inc. | Past | Accepting new patients | |
| Cedars Towers Surgical Medical Group | Past | Accepting new patients | |
| East Los Angeles Clinica Medica General Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Surgery Physician
- Los Angeles, CA
- NPI 1881633287
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1053368530
-
- Multi-Specialty Clinic/Center
- Santa Ana, CA
- NPI 1104873686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1598886533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1964 WESTWOOD BLVD",
"address_2": "SUITE 110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254651",
"telephone_number": "310-446-1822",
"fax_number": "310-446-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1964 WESTWOOD BLVD",
"address_2": "SUITE 110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254651",
"telephone_number": "310-446-1822",
"fax_number": "310-446-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYES",
"first_name": "MARSHALL",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G26695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G266950",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARSHALL",
"last_name": "KEYES, MD A MEDICAL CORPORATION",
"middle_name": "JAY",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.