Active NPI
Samantha Erika Keefer, MD
- General Practice Physician
- San Diego, CA
National Provider Identifier
1760126676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101279743
- Practice address
- 2841 Rendova Rd
San Diego, CA 92155-5490 - Phone
- (619) 437-2860
- NPI assigned
- Apr 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Family Medicine Physician | 207Q00000X | 0101279743 | VA | |
| General Practice Physician | 208D00000X | 0101279743 | VA | Primary |
Addresses
Primary practice location
2841 Rendova Rd
San Diego, CA 92155-5490
Mailing address
2841 Rendova Rd
San Diego, CA 92155-5490
Phone (619) 437-2860
Other practice location 1
PSC 475 Box 1
Fpo, AP 96350-1200
Phone (315) 243-7144
Other practice location 2
U.S. Naval Hospital, Okinawa, Camp Foster
Fpo, AP 96362
Phone (098) 971-9355
Other names 1
- Samantha Erika Grutzner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231116002242 | VA | Order and Referring Only - Family Practice | 0244687952 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101279743 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1760126676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 RENDOVA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921555490",
"telephone_number": "619-437-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 RENDOVA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921555490",
"telephone_number": "619-437-2860"
}
],
"practiceLocations": [
{
"address_1": "PSC 475 Box 1",
"address_purpose": "LOCATION",
"city": "FPO",
"state": "AP",
"postal_code": "963501200",
"country_code": "US",
"telephone_number": "315-243-7144",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "U.S. Naval Hospital, Okinawa, Camp Foster",
"address_purpose": "LOCATION",
"city": "FPO",
"state": "AP",
"postal_code": "96362",
"country_code": "US",
"telephone_number": "098-971-9355",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "KEEFER",
"first_name": "SAMANTHA",
"middle_name": "ERIKA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-26",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101279743",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101279743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "GRUTZNER",
"middle_name": "ERIKA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.