Keith Queeley

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

849882 Issued in CA

Practice address

250 Bon Air Rd Unit B
Greenbrae, CA 94904-1702

Phone

(415) 473-6829

Fax

(415) 473-4113

NPI assigned

Jul 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1659923043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 EUCLID AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947081603",
            "telephone_number": "510-423-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD UNIT B",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-473-6829",
            "fax_number": "415-473-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEELEY",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "849882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanee Primus
• Richard H Printz, MD PHD
• Heather Marie Pulido, APCC
• Donald James Pyskaty Jr., MD
• Arthur Quasha, MD
• Brendan R Quinn, PSY.D.
• Harpreet K Rai, MD
• Jatinder Singh Rai, RPH
• Amit D Rajparia, M.D.
• Menaka Raju, MD

• General Practice Registered Nurse in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.