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DR. KEEBAN CALEB NAM M.D.
NPI 1114347333
Psychiatry & Neurology - Child & Adolescent Psychiatry in Laguna Hills, CA

Active since April 28, 2014PECOS EnrolledAccepts Medicare Assignment
23141 MOULTON PKWY STE 213, LAGUNA HILLS, CA 92653(949) 258-3741(949) 258-3742 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2021, Jan 3, 2020, Dec 20, 2019 and 4 more (7 updates tracked since 2019).

About Dr. Keeban Caleb Nam M.d. NPPES

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

DR. KEEBAN CALEB NAM M.D. (NPI 1114347333) is an individual child & adolescent psychiatry provider in Laguna Hills, California, licensed in California (A140587) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fullerton, and is a graduate of Loma Linda University School Of Medicine (2014).

NPPES Registry Identity

NPI1114347333
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KEEBAN CALEB NAMCredential: M.D.
Location Address23141 MOULTON PKWY STE 213Laguna Hills, CA 92653-1204
Mailing Address23141 Moulton Pkwy Ste 213Laguna Hills, CA 92653-1204
Phone(949) 258-3741
Fax(949) 258-3742
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2014
Enumeration DateApril 28, 2014
Last NPPES UpdateJuly 9, 20217 updates tracked since enumeration
NPPES CertifiedJuly 9, 2021
✔ NPI 1114347333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A140587
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A140587 (CA)
23141 MOULTON PKWY STE 213, Laguna Hills, CA 92653
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Secondary Practice Location 1

Location 12501 E Chapman Ave Ste 265Fullerton, CA 92831-3108 · Phone (949) 258-3741 · Fax (949) 258-3742

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Keeban Caleb Nam M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688964778
PECOS Enrollment IDI20240719002444
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.

Other Providers at the Same Location NPPES 9

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

MRS. CHRISTINE JEANEUN KIM PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
23141 MOULTON PKWY STE 213
LAGUNA HILLS, CA 92653
Orange County (949) 258-3741
DR. MIJIN PARK PSYD
Psychologist
23141 MOULTON PKWY STE 213
LAGUNA HILLS, CA 92653
Orange County (949) 258-3741
ISAAC HWANG LEE NP
Nurse Practitioner (Psychiatric/Mental Health)
23141 MOULTON PKWY STE 213
LAGUNA HILLS, CA 92653
Orange County (949) 258-3741
KEEBAN NAM, M.D., INC.
Clinic/Center (Adolescent and Children Mental Health)
23141 MOULTON PKWY STE 213
LAGUNA HILLS, CA 92653
Orange County (714) 794-9725
ANNETTE M GARCIA
Counselor (Mental Health)
23141 MOULTON PKWY STE 213
LAGUNA HILLS, CA 92653
Orange County (949) 258-3741
ANTHONY BUI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
23141 MOULTON PKWY STE 213
LAGUNA HILLS, CA 92653
Orange County (949) 258-3741
MCKENNA MACFARLANE
Marriage & Family Therapist
23141 MOULTON PKWY STE 213
LAGUNA HILLS, CA 92653
Orange County (949) 258-3741
JODI CLINE LMFT
Marriage & Family Therapist
23141 MOULTON PKWY STE 213
LAGUNA HILLS, CA 92653
Orange County (949) 258-3741

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 Keeban Nam's NPI number?

The NPI number for Keeban Nam is 1114347333. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Keeban Nam located?

Keeban Nam practices at 23141 Moulton Pkwy Ste 213, Laguna Hills, CA 92653. The listed phone number is (949) 258-3741.

What is Keeban Nam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Keeban Nam enrolled in Medicare?

Yes. Keeban Nam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Keeban Nam was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.