ALAN SCOTT KELLERMANN MD NPI 1972747384

NPI Information

  • NPI: 1972747384
  • Provider Name: ALAN SCOTT KELLERMANN, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 500 CROWN POINT CIR STE 110
    GRASS VALLEY, CA
    ZIP 95945
  • Phone: (530) 265-7154

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NPI Details

Alan Scott Kellermann, MD is a family medicine in Grass Valley, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Alan Scott Kellermann, MD NPI is 1972747384. 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:

500 CROWN POINT CIR STE 110
GRASS VALLEY, CA
ZIP 95945-561
Phone: (530) 265-7154
Fax: (530) 271-7269

The enumeration date for this NPI number is 4/29/2009 and was last updated on 10/19/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA24844CALIFORNIAYes

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: 11/21/2025

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