Individual provider Active NPI

Keke Zheng

  • Certified Registered Nurse Anesthetist
  • Fontana, CA
National Provider Identifier
1770133415
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001190 Issued in CA
Practice address
9961 Sierra Ave
Fontana, CA 92335-6720
Phone
(833) 574-2273
NPI assigned
Sep 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001190 CA Primary
Registered Nurse 163W00000X 826315 CA

Addresses

Primary practice location

9961 Sierra Ave
Fontana, CA 92335-6720

Mailing address

4931 Trouville LN
Sacramento, CA 95835-2048
Phone (626) 383-5343

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200428001921 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971933219 Reassigns benefits to 8 organizations
Practice locations: Glendora, CA

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians
Amsurg Arcadia Anesthesia LPGroup PAC ID 7214199850, 7 clinicians

Practice addresses (Care Compare)

2295 S Vineyard Ave
Ontario, CA 91761-7925
Phone (909) 724-5000

488 E Santa Clara St
Suite 102
Arcadia, CA 91006-7230
Phone (626) 359-9555

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
826315CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Anesthesia Medical Associates Inc CurrentSince Aug 30, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 1, 2020 Accepting new patients
Wang Anesthesia Nursing Management Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 1, 2020 Accepting new patients
Pacific Vascular Access Care, Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Regents of the University of CurrentSince Mar 1, 2021 Accepting new patients
Mission Nursing Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince May 6, 2022 Accepting new patients
Glendora Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Mar 28, 2024 Accepting new patients
Amsurg Arcadia Anesthesia LP CurrentSince Aug 23, 2022 Accepting new patients
Allied Anesthesia Medical Group Inc CurrentSince May 1, 2024 Accepting new patients

Locations

707 S Garfield Ave
Ste 101
Alhambra, CA 91801
Phone (626) 656-1285

488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555

2725 16th St
Bakersfield, CA 93301
Phone (661) 401-2800

18575 Gale Ave
Ste 198
City of Industry, CA 91748
Phone (626) 656-1285

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

1794 S Barranca Ave
Glendora, CA 91740
Phone (626) 858-4600

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

35800 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 699-5000

8283 Grove Ave
Ste 207A
Rch Cucamonga, CA 91730
Phone (562) 249-1218

2006 N Riverside Ave
Ste C
Rialto, CA 92377
Phone (909) 586-6238

8945 Magnolia Ave
Ste 200
Riverside, CA 92503
Phone (951) 643-4961

14120 Alondra Blvd
Ste C
Santa Fe Springs, CA 90670

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1770133415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 TROUVILLE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352048",
            "telephone_number": "626-383-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9961 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356720",
            "telephone_number": "833-574-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHENG",
        "first_name": "KEKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-15",
        "last_updated": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001190",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "826315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.