GREGORY S. KELLER MD INC. (NPI# 1922348333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922348333 |
Entity Type | Organization |
Organization Name | GREGORY S. KELLER MD INC. |
Other Organization Name | SOUTH COAST SURGI CENTER |
Practice Address |
221 W Pueblo St Ste A Santa Barbara CA 93105-6809 |
Practice Telephone | 8055637756 |
Practice Fax Number | 8056870724 |
Mailing Telephone | 8055637756 |
Mailing Fax Number | 8056870724 |
Enumeration Date | 2013-02-21 |
Last Update Date | 2013-02-21 |
Authorized Official Name | DR. GREGORY S KELLER (PRESIDENT) |
Authorized Official Telephone | 8054569932 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
G22919 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
South Coast Surgi Center | Doing Business As Name - Organization |
Street Address |
221 W PUEBLO ST STE A |
City | SANTA BARBARA |
State | CA |
Zip Code | 93105-6809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831716307 | Christopher Robert Ray Hyde | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
1023635562 | Yana Gristan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
1346867918 | Neelima Archana Mohan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
1861019358 | Jerry Peng Jiang | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
1073153250 | California Telemedicine Associates, P.C. | Pediatrics | 2830 Glendessary Lane, Santa Barbara, CA 93105 | 2020-01-15 |
1275190233 | Paul Seo | Student in an Organized Health Care Education/Training Program | Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2019-05-24 |
1174009062 | Hannah Wilks Kornfeld | Student in an Organized Health Care Education/Training Program | Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-07-14 |
1174010896 | Thuthiri Thandar Lwin | Student in an Organized Health Care Education/Training Program | Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-04-18 |
1649771056 | Jeremy Middleton | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-02-22 |
1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
Find all providers in zip 93105 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164974655 | Coastal Surgery Center Partners | Clinic/Center | 222 W Pueblo St Ste C, Santa Barbara, CA 93105-3805 | 2016-10-31 |
1326498155 | 120 Spalding Partners, LLC | Clinic/Center | 120 Gray Ave Ste 200, Santa Barbara, CA 93101-1859 | 2016-06-13 |
1699804914 | Oak Anesthesia Associates | Clinic/Center | 427 W Pueblo St Ste C, Santa Barbara, CA 93105-6206 | 2007-03-04 |
1295883973 | Summit Ventures of Santa Barbara, Lp | Clinic/Center | 231 W Pueblo St, Santa Barbara, CA 93105-3804 | 2007-01-08 |
1174606214 | Pueblo Surgery Center, Inc. | Clinic/Center | 401 Chapala St, #102, Santa Barbara, CA 93101-3473 | 2006-10-23 |
1619989019 | Cedars Surgery Center, Lp | Clinic/Center | 2420 Fletcher Ave, Santa Barbara, CA 93105-4814 | 2006-08-13 |
1154868834 | Surgery Center of Santa Barbara, LLC | Clinic/Center | 2403 Castillo St, Santa Barbara, CA 93105-5316 | 2017-01-19 |
1619428489 | Montecito Surgery Center | Clinic/Center | 1722 State St, 101, Santa Barbara, CA 93101-2458 | 2016-10-17 |
1588064182 | Santa Barbara Plastic Surgery Center | Clinic/Center | 427 W Pueblo St Ste A, Santa Barbara, CA 93105-6206 | 2014-09-02 |
1144648015 | Sansum Clinic | Clinic/Center | 4151 Foothill Rd, Santa Barbara, CA 93110-1110 | 2014-03-28 |
Find all providers in SANTA BARBARA |
City | SANTA BARBARA |
Zip Code | 93105 |
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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.