Gregory S. Keller MD Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

G22919 Issued in CA

Legal business name

GREGORY S. KELLER MD INC.

Doing business as

South Coast Surgi Center

Practice address

221 W Pueblo St Ste a
Santa Barbara, CA 93105-6809

Phone

(805) 563-7756

Fax

(805) 687-0724

NPI assigned

Feb 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gregory S Keller, M.D.

Title

President

Phone

(805) 456-9932

Specialties & licenses 1

Addresses

Other names 1

• South Coast Surgi Center Doing business as

Locations

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1922348333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W PUEBLO ST STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056809",
            "telephone_number": "805-563-7756",
            "fax_number": "805-687-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W PUEBLO ST STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056809",
            "telephone_number": "805-563-7756",
            "fax_number": "805-687-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY S. KELLER MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-456-9932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G22919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Coast Surgi Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Reif Greenwald, M.D.
• Elisabeth Greenwald, FNP
• Diana Lyn Greenwood, LMFT
• Gregory Brunet (Urgent Ortho PA)
• Gregory M. Scarcello, DDS, Inc. (Montecito Dental Uptown)
• Alissa Gregory, LMFT
• Roy C. Grekin, MD
• Hayley Grenrock
• Kasey Grewe, M.D.
• Chad Avery Griffin, PHARM.D.

• Ambulatory Surgical Clinic/Center in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.