Michael I Keller M.D. Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G28715 Issued in CA

Legal business name

MICHAEL I KELLER M.D. INC

Practice address

3633 Camino del Rio S
#300
San Diego, CA 92108-4011

Phone

(619) 287-9730

Fax

(619) 287-4516

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Ira Keller, M.D.

Title

President

Phone

(619) 287-9730

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• San Diego Arthritis Medical Clinic Doing business as

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick C Astourian, MS PA-C

  • Medical Physician Assistant
  • La Mesa, CA
  • NPI 1932294279

  Specialist

  NPD (past)
• Puja Chitkara, M.D

  • Specialist
  • Chula Vista, CA
  • NPI 1871718189
  NPD (past)
• Gayle Michelle Kookootsedes, M.D.

  • Rheumatology Physician
  • San Diego, CA
  • NPI 1720428048
  NPD (past)
• Roger Kornu, M.D.

  • Rheumatology Physician
  • Tustin, CA
  • NPI 1841386349

  Specialist

  NPD (past)
• Soumya G Rao, M.D.

  • Rheumatology Physician
  • Poway, CA
  • NPI 1033388616
  NPD (past)
• Gheorghe P Ignat, MD

  • Rheumatology Physician
  • Cleveland, OH
  • NPI 1194810432
  NPD (past)
• Jennifer Rebecca Lincoln, P.A.

  • Medical Physician Assistant
  • Sewell, NJ
  • NPI 1467726364
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1861593063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CAMINO DEL RIO S",
            "address_2": "#300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084011",
            "telephone_number": "619-287-9730",
            "fax_number": "619-287-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CAMINO DEL RIO S",
            "address_2": "#300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084011",
            "telephone_number": "619-287-9730",
            "fax_number": "619-287-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL I KELLER M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-287-9730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G28715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104521",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104522",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104523",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Arthritis Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael G. McMahon Professional Dental Corporation
• Michael Gaspari Physical Therapy, P.C.
• Michael Goldhamer M. D. Inc.
• Michael H. Ho, DDS. Inc
• Michael Ho, DMD, a Professional Dental Corporation
• Michael J. Miller, DMD, a Professional Corporation
• Michael J. O'Leary, M.D., Inc.
• Michael J. Sullivan MD
• Michael Kao M.D. Inc.
• Michael Kurisu D.O. a Medical Corporation

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.