Individual provider Active NPI

Kathleen L Keating, D.O.

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1679839005
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A12905 Issued in CA
Practice address
3590 Central Ave Ste 100
Riverside, CA 92506-2708
Phone
(951) 359-0660
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A12905 CA Primary

Addresses

Primary practice location

3590 Central Ave Ste 100
Riverside, CA 92506-2708

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

3660 Arlington Ave
Riverside, CA 92506-3912
Phone (951) 683-6370

Other practice location 2

7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 782-3050

Other practice location 3

4646 Brockton Ave Ste 201
Riverside, CA 92506-0104
Phone (951) 585-1800

Other names 1

  • Miss Kathleen L Cunningham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160120000909 CA Practitioner - Internal Medicine 8820391196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Practice addresses (Care Compare)

22635 Alessandro Blvd
Suite a
Moreno Valley, CA 92553-8550
Phone (951) 242-2226

5957 W Ramsey St
Banning, CA 92220-3058
Phone (951) 845-0313

8990 Garfield St
Suite 3
Riverside, CA 92503-3922
Phone (951) 359-0660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12905CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altais Medical Group - Riverside, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

22635 Alessandro Blvd
Ste A
Moreno Valley, CA 92553
Phone (951) 242-2226

8990 Garfield St
Ste 3
Riverside, CA 92503
Phone (909) 689-4431

3590 Central Ave
Ste 100
Riverside, CA 92506
Phone (951) 359-0660

4646 Brockton Ave
Ste 201
Riverside, CA 92506
Phone (951) 585-1800

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kkeating25174@epiclp.direct-ci.com

Organizations & group practices 6

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1679839005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 CENTRAL AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062708",
            "telephone_number": "951-359-0660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3660 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063912",
            "country_code": "US",
            "telephone_number": "951-683-6370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7117 Brockton Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062658",
            "country_code": "US",
            "telephone_number": "951-782-3050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4646 Brockton Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925060104",
            "country_code": "US",
            "telephone_number": "951-585-1800",
            "fax_number": "951-585-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATING",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A12905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "CUNNINGHAM",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.