Individual provider Active NPI

Patrick Dennis Keating

  • Ophthalmology Physician
  • Woodland Hills, CA
National Provider Identifier
1750325882
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A24231 Issued in CA
Practice address
6325 Topanga Canyon Blvd
Woodland Hills, CA 91367-2006
Phone
(818) 907-7828
NPI assigned
Jun 16, 2006
Last updated
Dec 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A24231 CA Primary

Addresses

Primary practice location

6325 Topanga Canyon Blvd
Woodland Hills, CA 91367-2006

Mailing address

6325 Topanga Canyon Blvd
Woodland Hills, CA 91367-2040
Phone (818) 907-7828

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
I20110302000515 CA Practitioner - Ophthalmology 7719168384 Practice locations: Woodland Hills, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A24231CAMDOphthalmology Physician
24231CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Wound Care Medical PC PastSince Jan 1, 2025 Accepting new patients
Tender Wound Care, LLC PastSince Oct 20, 2024 Accepting new patients
California Lasik and Cataract Institute, Inc. Ophthalmology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1750325882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672040",
            "telephone_number": "818-907-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672006",
            "telephone_number": "818-907-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "PATRICK",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A24231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.