William Chase Keightley, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G39138 Issued in CA

Practice address

116 S Palisade Dr Ste 200
Santa Maria, CA 93454-8905

Phone

(805) 739-3968

Fax

(805) 739-3951

NPI assigned

Dec 14, 2006

Last updated

Mar 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Pacific Central Coast Health Centers

  dba Dignity Health Women's Center - Southwest

  • Community Health Clinic/Center
  • Bakersfield, CA
  • NPI 1720752355
  NPD (past)
• Spine Sports& Pain Medicine Steven Kidman MDPC

  • Medical Specialty Clinic/Center
  • Santa Fe, NM
  • NPI 1124111901
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1730241100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E. CHURCH STREET",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "SANTA MARIAI",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-739-3954",
            "fax_number": "805-739-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S PALISADE DR STE 200",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548905",
            "telephone_number": "805-739-3968",
            "fax_number": "805-739-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Calle Medico",
            "address_2": "Suite # 2",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054705",
            "country_code": "US",
            "telephone_number": "505-670-6539",
            "fax_number": "505-795-7371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEIGHTLEY",
        "first_name": "WILLIAM",
        "middle_name": "CHASE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G39138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samira Kayumi-Rashti, M.D.
• Michael Kazak, MD
• Samara M Kazak, MD
• Brittanie Keebler
• Trisha Lynn Keeney
• Keith Dillon, M.D., Inc.
• Keith Tam DDS Professional Corp (Santa Maria Pediatric Dental Group)
• Cecilia Kelley
• Linda Ann Kelly
• Sarah M Kelly, CNM

• Psychiatry Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.