MRS. PORTIA ANN KEOUGH (NPI# 1255839791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255839791 |
| Entity Type | Individual |
| Full Name | MRS. PORTIA ANN KEOUGH |
| Credential | FNP |
| Practice Address |
23600 Telo Ave Torrance CA 90505-4035 |
| Mailing Address |
393 E Walnut St Fl 3 Phr Group Provider Enrollment Unit Pasadena CA 91188-0001 |
| Practice Telephone | 3103252084 |
| Mailing Telephone | 8776080044 |
| Mailing Fax Number | 8775140903 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005554 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
23600 TELO AVE |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963719 | Andrew Yuh-fong Lin | Internal Medicine | 23600 Telo Ave, Ste 280, Torrance, CA 90505-4037 | 2005-06-22 |
| 1790135267 | Clear Vista Ophthalmology Inc, A Medical Corporation | Ophthalmology | 23600 Telo Ave, Suite 100, Torrance, CA 90505-4035 | 2016-06-15 |
| 1912307828 | Chris Mellano Md | Orthopaedic Surgery | 23600 Telo Ave, Torrance, CA 90505-4035 | 2014-08-27 |
| 1053663369 | Peter S. Lorman, M.d., A Professonal Corp | Orthopaedic Surgery | 23600 Telo Ave, Suite 180, Torrance, CA 90505-4035 | 2012-10-10 |
| 1275812380 | Center for Digestive Health & Nutritional Excellence, Inc | Nutritionist | 23600 Telo Ave, Suite #260, Torrance, CA 90505-4035 | 2011-08-06 |
| 1710298948 | Christopher L Watts Jr. | Specialist/Technologist, Other | 23600 Telo Ave, Suite 180, Torrance, CA 90505-4035 | 2010-06-22 |
| 1215255583 | Prestige Care Physician, Inc | Internal Medicine | 23600 Telo Ave, Suite 145, Torrance, CA 90505-4035 | 2010-05-12 |
| 1669702288 | Wolstan & Goldberg Eye Associates Inc., A Medical Corporaton | Eyewear Supplier (Equipment, not the service) | 23600 Telo Ave, Suite 100, Torrance, CA 90505-4035 | 2010-01-04 |
| 1447584586 | Wellcare Sleep Center Inc | Clinic/Center | 23600 Telo Ave, Suite150, Torrance, CA 90505-4035 | 2009-09-22 |
| 1285860445 | Wolstan & Goldberg Eye Associates Inc A Medical Corporaton | Ophthalmology | 23600 Telo Ave, Suite 100, Torrance, CA 90505-4035 | 2009-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827199 | Latosha Deanna Barnes | Nurse Practitioner | 22433 S Vermont Ave Apt 153, Torrance, CA 90502-2496 | 2020-09-23 |
| 1023644556 | Home Care Md Medical Group | Nurse Practitioner | 2785 Pacific Coast Hwy Ste E241, Torrance, CA 90505-7066 | 2020-03-16 |
| 1104466804 | Viviane Mirville | Nurse Practitioner | 23105 Madison St Apt 115, Torrance, CA 90505-3912 | 2020-01-09 |
| 1003452517 | Kriska Aimee Tiglao | Nurse Practitioner | 1328 Portola Ave, Torrance, CA 90501-2613 | 2019-11-19 |
| 1124681770 | Medhin Kahsay | Nurse Practitioner | 25252 Denny Rd, Torrance, CA 90505-7051 | 2019-04-19 |
| 1265902985 | Momoyo Ozawa | Nurse Practitioner | 2147 W 176th St, Torrance, CA 90504-3543 | 2018-11-26 |
| 1689186132 | Tammy Thrasher | Nurse Practitioner | 17820 Doty Ave, Torrance, CA 90504-3819 | 2017-10-24 |
| 1891207387 | Maria Lorena Geronimo Belardo | Nurse Practitioner | 3440 W Carson St Ste 302, Torrance, CA 90503-5729 | 2017-10-24 |
| 1740726744 | Maria Papa | Nurse Practitioner | 22129 Normandie Ave, Torrance, CA 90501-4042 | 2017-01-13 |
| 1568905990 | Christina Hanisch | Nurse Practitioner | 23326 Hawthorne Blvd Ste 100a, Torrance, CA 90505-3723 | 2016-12-03 |
| Find all providers in TORRANCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.