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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEONNIE PARRILLA
NPI 1053013912
Family Medicine in San Francisco, CA

Active since March 21, 2023PECOS Enrolled
1001 POTRERO AVE BLDG 80-83, SAN FRANCISCO, CA 94110(628) 206-5252 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Mar 21, 2023 (2 updates tracked since 2023).

About Keonnie Parrilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEONNIE PARRILLA (NPI 1053013912) is an individual family medicine provider in San Francisco, California, licensed in California (A205705) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053013912
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEONNIE PARRILLA
Location Address1001 POTRERO AVE BLDG 80-83San Francisco, CA 94110-3518
Mailing Address2645 Ocean Ave Lbby 3San Francisco, CA 94132-1623
Phone(628) 206-5252
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 21, 2023
Last NPPES UpdateOctober 16, 20262 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1053013912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A205705
Definition
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.
1001 POTRERO AVE BLDG 80-83, San Francisco, CA 94110
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Secondary Practice Location 1

Location 12645 Ocean AveSan Francisco, CA 94132-1633 · Phone (415) 600-5400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keonnie Parrilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678919156
PECOS Enrollment IDI20260828004299
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Keonnie Parrilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
15 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTIN SHAPIRO MD
Family Medicine
1001 POTRERO AVE BLDG 80-83
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5252
TRESNE HERNANDEZ MD
Family Medicine
1001 POTRERO AVE BLDG 80-83, SFGH FAMILY HEALTH CENTER
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-5252
MATTHEW ISAAC LAMARCA RODRIGUEZ MD
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE BLDG 80-83
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-5252
DR. DANIEL FREITAS M.D.
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE BLDG 80-83
SAN FRANCISCO, CA 94110
San Francisco County (916) 622-1239
SIMONE DESHIELDS
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE BLDG 80-83
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-5252
DR. CHRISTINE ANNE TOLENTINO GALANG MD
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE BLDG 80-83
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-5252
THU-AN NGOC TRAN SOTO MD
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE BLDG 80-83
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-5252
DIANA CARINA PEREZ MD
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE BLDG 80-83
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-5252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keonnie Parrilla's NPI number?

The NPI number for Keonnie Parrilla is 1053013912. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Keonnie Parrilla located?

Keonnie Parrilla practices at 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110. The listed phone number is (628) 206-5252.

What is Keonnie Parrilla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keonnie Parrilla enrolled in Medicare?

Yes. Keonnie Parrilla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keonnie Parrilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keonnie Parrilla reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keonnie Parrilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keonnie Parrilla was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.