SAMANTHA ERIKA KEEFER MD
NPI 1760126676
General Practice in San Diego, CA

Q: What is Samantha Keefer's NPI number?

The NPI number for Samantha Keefer is 1760126676. It was assigned to this individual provider in the NPPES registry on April 26, 2022. The provider is also known as Samantha Erika Grutzner.

Q: What is Samantha Keefer's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Keefer was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since April 26, 2022PECOS Enrolled

2841 RENDOVA RD, SAN DIEGO, CA 92155(619) 437-2860 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2025, Apr 26, 2022 (2 updates tracked since 2022).

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About Samantha Erika Keefer Md NPPES

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

SAMANTHA ERIKA KEEFER MD (NPI 1760126676) is an individual general practice provider in San Diego, California, licensed in Virginia (0101279743) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760126676

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameSAMANTHA ERIKA KEEFERCredential: MD

Location Address2841 RENDOVA RDSan Diego, CA 92155-5490

Mailing Address2841 Rendova RdSan Diego, CA 92155-5490 · (619) 437-2860

Phone(619) 437-2860

Sole ProprietorNo

Enumeration DateApril 26, 2022

Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration

NPPES CertifiedDecember 11, 2025

✔ NPI 1760126676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0101279743

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

Also ListedFamily MedicineTaxonomy 207Q00000X · License 0101279743 (VA)

2841 RENDOVA RD, San Diego, CA 92155

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Other Names 1

Former Name (1)Samantha Erika Grutzner

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Erika Keefer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 14

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

JOSHUA W. JOHNSON

Dentist