Kimberly Susan Keyes, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA5363 Issued in GA

Practice address

355 Abbott St Ste 100
Salinas, CA 93901-4484

Phone

(831) 751-7070

NPI assigned

Jul 9, 2006

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Female

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

Enrolled in GA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6806/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Svmhs Clinics

  dba Salinas Valley Health Clinics

  • Multi-Specialty Clinic/Center
  • Salinas, CA
  • NPI 1093158347
  Medicare reassignment NPD
• Lifeline Primary Care, Inc

  • Primary Care Clinic/Center
  • Lilburn, GA
  • NPI 1639426984
  Medicare reassignment
• Lifeline Primary Care, Inc

  dba Lifeline Primary Care

  • Family Medicine Physician
  • Duluth, GA
  • NPI 1104292630
  NPD
• Lancelot O Alexander MD a Medical Corporation

  • Specialist
  • Salinas, CA
  • NPI 1134279532
  NPD (past)
• Good Samaritan Health Center

  • Primary Care Clinic/Center
  • Norcross, GA
  • NPI 1255831293
  NPD (past)
• Good Samaritan Health Center of Gwinnett

  • Primary Care Clinic/Center
  • Norcross, GA
  • NPI 1316495021
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1700819828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 BUFORD HWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712472",
            "telephone_number": "678-280-6630",
            "fax_number": "648-280-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 ABBOTT ST STE 100",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014484",
            "telephone_number": "831-751-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5949 Buford Hwy",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300712472",
            "country_code": "US",
            "telephone_number": "678-280-6630",
            "fax_number": "678-280-6635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYES",
        "first_name": "KIMBERLY",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "PA5363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kennedy
• Kenneth Ishizue MD a Professional Medical Corporation
• Miller James Kerr, M.D.
• Lisa Keslin
• Kevin a Coe DDS and Grants D Rosen, DDS General Partnership (Salinas Dental Health)
• Korey Ellen Keyton, PSYD
• Michelle Kezeli
• Anita Khadka, N.P.
• William Khieu, MD
• Amy A Khong

• Medical Physician Assistant in Salinas, CA
• Providers in Salinas, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.