Alan Scott Kellermann, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A24844 Issued in CA

Practice address

500 Crown Point Cir Ste 110
Grass Valley, CA 95945-9561

Phone

(530) 265-7154

Fax

(530) 271-7269

NPI assigned

Apr 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• County of Nevada

  • Public Health or Welfare Agency
  • Grass Valley, CA
  • NPI 1700959863
  NPD (past)
• Nevada County CCS

  • Rehabilitation Clinic/Center
  • Nevada City, CA
  • NPI 1376696021
  NPD (past)

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1972747384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10388 BOULDER ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592627",
            "telephone_number": "530-798-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CROWN POINT CIR STE 110",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459561",
            "telephone_number": "530-265-7154",
            "fax_number": "530-271-7269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Sierra College Dr",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959455768",
            "country_code": "US",
            "telephone_number": "530-273-9541 x234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1345 Whispering Pines Ln",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "95945",
            "country_code": "US",
            "telephone_number": "530-273-4984 x5",
            "fax_number": "530-273-7255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLERMANN",
        "first_name": "ALAN",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A24844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Michel Kauk, FNP
• Nathanael John Kavenik, BA
• Sande Kay, M.A.
• Donna Keith, IMFT
• Margaret Lea Keller
• Tina C Kelley
• Amy Kelly, DSCN
• Annette Kelso
• Jospeh Kemp
• Beth B Kemplin

• Family Medicine Physician in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.