KELLER EYE ASSOCIATES, INC. A MEDICAL GROUP (NPI# 1881995199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881995199 |
| Entity Type | Organization |
| Organization Name | KELLER EYE ASSOCIATES, INC. A MEDICAL GROUP |
| Other Organization Name | CHARLES E KELLER, M.D. |
| Practice Address |
1010 W La Veta Ave Suite 175 Orange CA 92868-4300 |
| Practice Telephone | 7146335696 |
| Practice Fax Number | 7146335490 |
| Mailing Telephone | 7146335696 |
| Mailing Fax Number | 7146335490 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | CHARLES KELLER (PRESIDENT) |
| Authorized Official Telephone | 7146335696 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Charles E Keller, M.D. | Former Legal Business Name - Organization |
| Street Address |
1010 W LA VETA AVE SUITE 175 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371581 | Troy Michael Reyna | Surgery | 1010 W La Veta Ave, Suite 640, Orange, CA 92868-4300 | 2005-07-21 |
| 1053849406 | Amy Nicole Woody | Emergency Medicine | 1010 W La Veta Ave, Orange, CA 92868-4300 | 2017-05-30 |
| 1730636226 | Jennifer Choe | Nurse Practitioner | 1010 W La Veta Ave, #570, Orange, CA 92868-4300 | 2016-09-01 |
| 1427419530 | Daniel Chiu | Registered Nurse | 1010 W La Veta Ave, Suite 570, Orange, CA 92868-4300 | 2016-03-16 |
| 1104218494 | My Phuong Pham Nguyen | Nurse Practitioner | 1010 W La Veta Ave, Ste 750, Orange, CA 92868-4300 | 2015-02-24 |
| 1548509102 | Elizabeth Anne Kovacs | Registered Nurse | 1010 W La Veta Ave, Ste 610, Orange, CA 92868-4300 | 2013-02-01 |
| 1003182130 | Kathryn L Thompson | Physician Assistant | 1010 W La Veta Ave, 200, Orange, CA 92868-4300 | 2012-03-22 |
| 1326327933 | Lawrence David Wagman Md Professional Corporation | Surgery | 1010 W La Veta Ave, Ste 470, Orange, CA 92868-4300 | 2011-08-12 |
| 1679875942 | Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders | Clinic/Center | 1010 W La Veta Ave, Suite 670, Orange, CA 92868-4300 | 2010-11-18 |
| 1043523707 | Missra Rezvani | Nurse Practitioner | 1010 W La Veta Ave, Ste 750, Orange, CA 92868-4300 | 2010-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053702738 | Natasha Shaffer | Specialist | 3207 E Almond Ave, Orange, CA 92869-3728 | 2015-02-16 |
| 1124427075 | Nancy Ceja | Specialist | 200 S Esplanade St, Orange, CA 92869-3962 | 2014-08-16 |
| 1750723078 | Sarah Linda Maze | Specialist | 686 N Lemon Hill Trl, Orange, CA 92869-2403 | 2013-07-29 |
| 1508209362 | Bruce D. Burtoff | Specialist | 108 Railroad Ave, Orange, VA 22960 | 2013-04-11 |
| 1346581402 | National Medical Physicians Services Group LLC | Specialist | 308 W Chapman Ave Unit 1936, Orange, CA 92856-7079 | 2013-03-13 |
| 1881956266 | Arthur H Salibian Md A Professional Corporation | Specialist | 1310 W Stewart Dr Ste 211, Orange, CA 92868-3837 | 2012-06-12 |
| 1992969018 | Samir Sobhy Kamel Ebeade | Specialist | 3009 Macarthur Dr, Orange, TX 77630-4707 | 2008-07-17 |
| 1366613259 | Marc A Zepeda M D A Professional Corporation | Specialist | 805 W La Veta Ave Ste 107, Orange, CA 92868-3928 | 2008-03-18 |
| 1831370220 | Guohua Zhao | Specialist | 101 The City Dr, S, Rm 101, Building 10, Orange, CA 92868 | 2007-11-14 |
| 1154516623 | Santa Ruth Saucedo | Specialist | 8209 E Hillsdale Dr, Orange, CA 92869-2440 | 2007-09-07 |
| Find all providers in ORANGE | ||||
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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.