Individual provider Active NPI

John A. Keipp, M.D.

  • Family Medicine Physician
  • Cerritos, CA
National Provider Identifier
1609829415
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A22945 Issued in CA
Practice address
12900 Park Plaza Drive # 150
Attention: Maggie Noles Ms 6160
Cerritos, CA 90703-9329
Phone
(562) 622-2800
Fax
(562) 622-2898
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A22945 CA Primary

Addresses

Primary practice location

12900 Park Plaza Drive # 150
Attention: Maggie Noles Ms 6160
Cerritos, CA 90703-9329

Mailing address

Dept. la 23039
Attention: Maggie Noles Ms 6160
Pasadena, CA 91185-3039
Phone (562) 741-4461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rubin and McNamara MDS Inc Past Accepting new patients
Caremore Medical Group Inc Family Medicine Past Accepting new patients
Caremore Medical Group Family Medicine 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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1609829415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. LA 23039",
            "address_2": "ATTENTION: MAGGIE NOLES MS 6160",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911853039",
            "telephone_number": "562-741-4461",
            "fax_number": "562-741-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DRIVE # 150",
            "address_2": "ATTENTION: MAGGIE NOLES MS 6160",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-622-2800",
            "fax_number": "562-622-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIPP",
        "first_name": "JOHN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A22945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.