KEITH RYAN ACERON (NPI# 1801236740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801236740 |
| Entity Type | Individual |
| Full Name | KEITH RYAN ACERON |
| Credential | DPM |
| Practice Address |
17100 Euclid St Medical Staff Fountain Valley CA 92708-4004 |
| Mailing Address |
20331 Bluffside Cir Unit A116 Huntington Beach CA 92646-8524 |
| Practice Telephone | 7149668182 |
| Mailing Telephone | 9092359590 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2016-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5213 | CA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
EL 1941 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
17100 EUCLID ST MEDICAL STAFF |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648319 | Kazuo Yamazaki | Pathology | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2005-06-08 |
| 1841837028 | Kevin Lo | Pharmacist | 17100 Euclid St, Fountain Valley, CA 92708-4043 | 2019-12-05 |
| 1275170524 | Dennis Anthony Cabrera | Pharmacist | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-12-05 |
| 1003462722 | Caitlyn Jeein Kim | Registered Nurse | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-08-18 |
| 1750946851 | Pauni Medical Inc | Specialist | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-05-03 |
| 1023672037 | Joseph Bui | Podiatrist | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2019-04-24 |
| 1528552353 | Frederica Yarborough | Nurse Practitioner | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-06-15 |
| 1952894982 | Phuong Tu Lam | Registered Nurse | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-06-13 |
| 1881197879 | Lori Akasaka | Social Worker | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-03-15 |
| 1124528104 | Sara Ajifu | Social Worker | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2018-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1811481914 | Dana Lin | Podiatrist | 11160 Warner Ave Ste 211, Fountain Valley, CA 92708-4048 | 2018-06-21 |
| 1265553457 | Rosemary Rupali Jadia | Podiatrist | 18332 Birch St, Fountain Valley, CA 92708-6604 | 2007-04-03 |
| 1780627141 | Steve Minh Eng | Podiatrist | 18111 Brookhurst St # 3400, #3400, Fountain Valley, CA 92708-6728 | 2006-06-14 |
| 1356867311 | Andrew P. Chu PC | Podiatrist | 11180 Warner Ave Ste 353, Fountain Valley, CA 92708-7516 | 2017-08-21 |
| 1316495047 | Daniel Recalde Dpm, Inc | Podiatrist | 11100 Warner Ave, Suite 306, Fountain Valley, CA 92708-7506 | 2016-09-12 |
| 1528394319 | Steve M. Eng, Dpm, Inc. | Podiatrist | 18111 Brookhurst St, Suite 3400, Fountain Valley, CA 92708-6728 | 2009-10-29 |
| 1740462910 | Michael H. Simons D.p.m. A Professional Corporation | Podiatrist | 18111 Brookhurst Street, Suite 3400, Fountain Valley, CA 92708-6728 | 2007-11-29 |
| 1932295029 | Michael Howard Simons | Podiatrist | 18111 Brookhurst St, Suite 3400, Fountain Valley, CA 92708-6728 | 2006-10-05 |
| 1790783439 | R. Denis Russell | Podiatrist | 11100 Warner Ave, Suite 306, Fountain Valley, CA 92708-7506 | 2005-07-07 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on KEITH RYAN ACERON.
| 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.