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DR. RUSSELL BRIAN KEATING MD NPI 1396727863


NPI Information

NPI: 1396727863
Provider Name: DR. RUSSELL BRIAN KEATING, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
5528 E LA PALMA AVE
SUITE 4-A
ANAHEIM, CA
ZIP 92807
Phone: (714) 970-0200
Get Directions

DR. Russell Brian Keating, MD is a diagnostic radiology radiology in Anaheim, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Russell Brian Keating, MD NPI is 1396727863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5528 E LA PALMA AVE
SUITE 4-A
ANAHEIM, CA
ZIP 92807-115
Phone: (714) 970-0200
Fax: (714) 970-0270

The NPI 1396727863 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 4/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyG48783CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F10924MEDICARE UPIN
2WG48783EMEDICARE PINCALIFORNIA
3WG48783DMEDICARE PINCALIFORNIA
400G487831MEDICARE PINCALIFORNIA
5WG48783GMEDICARE PINCALIFORNIA
600G487830MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.