NPIMap

Individual provider Active NPI

Keith Chester Myers, PA-C

  • Physician Assistant
  • Elk Grove, CA
National Provider Identifier
1770622862
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15582 Issued in CA
Practice address
2620 Marsh Wren Way
Elk Grove, CA 95757-8185
Phone
(530) 846-9072
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15582 CA Primary

Addresses

Primary practice location

2620 Marsh Wren Way
Elk Grove, CA 95757-8185

Mailing address

2620 Marsh Wren Way
Elk Grove, CA 95757-8185
Phone (530) 846-9072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080121000271 CA Practitioner - Physician Assistant 1254412885 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orohealth Corporation a Non Profit Healthcare SystemGroup PAC ID 4082501192, 126 clinicians
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

2767 Olice Hwy
Oroville, CA 95966-6118

2767 Olive Hwy
Oroville, CA 95966-6118

520 Bogue Rd
Yuba City, CA 95991-9242
Phone (530) 844-5660

Hospital & facility affiliations

  • Butte Home Health and Hospice Home health agency, Chico, CA, CCN 057679
  • Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
  • Freedom Home Health and Hospice Care Services, Inc Home health agency, Marysville, CA, CCN 059685
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15582CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Mar 6, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 20, 2026 Accepting new patients
Sonora Community Hospital CurrentSince Mar 6, 2023 Accepting new patients
Peach Tree Healthcare Physician Assistant Past Accepting new patients

Locations

690 Guzzi Ln
Ste B
Sonora, CA 95370
Phone (209) 536-5060

680 Guzzi Ln
Ste 204
Sonora, CA 95370
Phone (209) 536-5750

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718

520 Bogue Rd
Yuba City, CA 95991
Phone (530) 844-5660

Interoperability endpoints

  • Direct secure messaging: keith.myers.p1@direct.peachtreehealth.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770622862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 MARSH WREN WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578185",
            "telephone_number": "530-846-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 MARSH WREN WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578185",
            "telephone_number": "530-846-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KEITH",
        "middle_name": "CHESTER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "15582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.