Keith Bernard Koziol

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

11155 Mountain View Ave Ste 220
Loma Linda, CA 92354-3873

Phone

(909) 558-6716

NPI assigned

Jul 22, 2026

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

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1710808316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 KANSAS ST APT E14",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735410",
            "telephone_number": "818-631-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 MOUNTAIN VIEW AVE STE 220",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543873",
            "telephone_number": "909-558-6716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1686 Barton Rd",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923731488",
            "country_code": "US",
            "telephone_number": "856-419-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZIOL",
        "first_name": "KEITH",
        "middle_name": "BERNARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Mary Korszyk, PA-C
• Juthamas Kositsawat
• Kamal M Kotak, MD
• F Elias Koteira, M.D.
• Haley Kowalski, MD
• Michael Ross Krainock, M.D.
• Barry Kenton Krall, DDS
• Matthew Edward Kranitz, MD
• Nicole Kraus
• Cassandra Krause

• Clinical Neuropsychologist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.