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KEITH ARLYN FENDERSON M.D
NPI 1902824873
Emergency Medicine in Roseville, CA

Active since July 18, 2006
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(916) 781-1000 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Keith Arlyn Fenderson M.d NPPES

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

KEITH ARLYN FENDERSON M.D (NPI 1902824873) is an individual emergency medicine provider in Roseville, California, licensed in California (G42277) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1902824873
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKEITH ARLYN FENDERSONCredential: M.D
Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037
Mailing Address2100 Powell St, Ste 900Emeryville, CA 94608-1826 · (510) 350-2600 · Fax (510) 879-9100
Phone(916) 781-1000
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateOctober 24, 2007
✔ NPI 1902824873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · G42277
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 MEDICAL PLAZA DR, Roseville, CA 95661
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Other Identifiers 3

Medicaid00G422770CA
Medicare UPINF80337CA
Medicare PIN00G422770CA

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.

IQBAL SINGH GREWAL MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
MICHELLE LYNNE STONE
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 292-0294
PREYA S SHETH
Emergency Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
CHAN MI SUNG FNP-BC
Nurse Practitioner (Family)
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
ARIANNA GREGG
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 292-0294
KIMBERLY S. NEWLIN NP
Nurse Practitioner
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1670
NAVEEN REDDY MD
Internal Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
SARA MASHAYEKAN MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000

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 Fenderson's NPI number?

The NPI number for Keith Fenderson is 1902824873. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Keith Fenderson located?

Keith Fenderson practices at 1 Medical Plaza Dr, Roseville, CA 95661. The listed phone number is (916) 781-1000.

What is Keith Fenderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Keith Fenderson was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.