Erica Keller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57198 Issued in CA

Practice address

1998 Market Street
Within Carbon Health
San Francisco, CA 94102

Phone

(855) 563-2639

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: ekeller562984@hisp.ehr.sutterhealth.org

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.

• Fahimeh Sasan,D.O., P.C

  • Reproductive Endocrinology Physician
  • San Francisco, CA
  • NPI 1891355863
  NPD (past)
• Peach State Medical Practice, PC

  • Reproductive Endocrinology Physician
  • Atlanta, GA
  • NPI 1891390084
  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1831731041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 GREEN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941092013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 MARKET STREET",
            "address_2": "WITHIN CARBON HEALTH",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94102",
            "telephone_number": "855-563-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ERICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica.keller@kindbody.com",
            "affiliation": "N",
            "endpointDescription": "Kindbody Email",
            "address_1": "1998 Market Street",
            "address_2": "Within Carbon Health",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie Kellenberger
• Alexandra Keller, PSYD
• Arlene Keller, M.D.
• Darian Keller, MD
• Debra Keller, M.D.
• Joanna Morgan Keller, PSY.D
• Jonathan Russell Keller, D.C.
• Kristine Keller, PHARMD
• Laura Elizabeth Keller
• Marisa Keller

• Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.