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KEITH S ROBERTSON DC
NPI 1477641850
Chiropractor in San Lorenzo, CA

Active since October 10, 2006Accepts Medicare Assignment
16169 HESPERIAN BLVD, SAN LORENZO, CA 94580(510) 276-7696(510) 276-7695 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith S Robertson Dc NPPES

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

KEITH S ROBERTSON DC (NPI 1477641850) is an individual chiropractor in San Lorenzo, California, licensed in California (DC23099) and active in the NPI registry since October 2006. He is a graduate of Life Chiropractic College - West (1993).

NPPES Registry Identity

NPI1477641850
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKEITH S ROBERTSONCredential: DC
Location Address16169 HESPERIAN BLVDSan Lorenzo, CA 94580-2451
Mailing Address16169 Hesperian BlvdSan Lorenzo, CA 94580-2451 · (510) 276-7696 · Fax (510) 276-7695
Phone(510) 276-7696
Fax(510) 276-7695
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 1993
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1477641850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC23099
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
16169 HESPERIAN BLVD, San Lorenzo, CA 94580
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Other Identifiers 3

Other943238916CA · Tax Id Number
OtherDC023099CA · Medical Liscense Number
Medicare UPINDC0230990CA

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

Keith S Robertson Dc 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 ID6608036561
PECOS Enrollment IDI20120329000906

Other Providers at the Same Location NPPES 2

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

JENNIFER CHEN
Massage Therapist
16169 HESPERIAN BLVD
SAN LORENZO, CA 94580
Alameda County (510) 919-0068
LAI FONG LEUNG
Acupuncturist
16169 HESPERIAN BLVD
SAN LORENZO, CA 94580
Alameda County (510) 919-0068

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 Keith Robertson's NPI number?

The NPI number for Keith Robertson is 1477641850. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Keith Robertson located?

Keith Robertson practices at 16169 Hesperian Blvd, San Lorenzo, CA 94580. The listed phone number is (510) 276-7696.

What is Keith Robertson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Keith Robertson enrolled in Medicare?

Yes. Keith Robertson 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 Keith Robertson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.