MS. LYNN KEITZ (NPI# 1699231621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699231621 |
| Entity Type | Individual |
| Full Name | MS. LYNN KEITZ |
| Other Name | MS. LYNN SANTILLO |
| Credential | FNP-C |
| Practice Address |
360 East 7th Street Suite D Upland CA 91786 |
| Practice Telephone | 9099209123 |
| Practice Fax Number | 9099206019 |
| Mailing Telephone | 9099209123 |
| Mailing Fax Number | 9099206019 |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95009387 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
360 EAST 7TH STREET SUITE D |
| City | UPLAND |
| State | CA |
| Zip Code | 91786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| 1265955546 | Xioa Zhu | Acupuncturist | 1175 E Arrow Hwy., Suite F, Upland, CA 91786 | 2017-07-19 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223251 | Timothy M Goco | Nurse Practitioner | 300 N Euclid Ave Ste B, Upland, CA 91786-8323 | 2020-04-15 |
| 1720628605 | Chun Tien Shen | Nurse Practitioner | 980 E Foothill Blvd Ste 101, Upland, CA 91786-4068 | 2020-01-08 |
| 1306306766 | Girlielyn Sy Tiu | Nurse Practitioner | 630 N 13th Ave Ste A, Upland, CA 91786-4978 | 2019-03-21 |
| 1093252926 | Catalina J. Howland | Nurse Practitioner | 885 Kimberly Ct, Upland, CA 91784-1208 | 2017-01-30 |
| 1962946418 | Alexandro Fernandez | Nurse Practitioner | 1032 W 23rd St, Upland, CA 91784-1215 | 2016-12-16 |
| 1467825901 | Caremore Health Plan | Nurse Practitioner | 141 W. Foothill Blvd., Upland, CA 91786 | 2015-11-05 |
| 1821492836 | Advanced Healthcare for Women & Children, A Nursing Corporation | Nurse Practitioner | 600 N Mountain Ave Ste A104, Upland, CA 91786-4359 | 2014-10-20 |
| 1518360437 | Honeyleen Reyes | Nurse Practitioner | 918 W Foothill Blvd Ste A, Upland, CA 91786-3772 | 2014-10-06 |
| 1073915690 | Janilyn Sherman | Nurse Practitioner | 1060 E Foothill Blvd Ste 103, Upland, CA 91786-4070 | 2014-09-26 |
| 1316353022 | April Baldrias | Nurse Practitioner | 1238 East Arrow Highway, Upland, CA 91786 | 2014-07-02 |
| Find all providers in UPLAND | ||||
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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.