Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Edward Blackwell, MD

Individual provider Otolaryngology Physician · NPI 1669496964

Keith Edward Blackwell, MD is an Otolaryngology in Los Angeles, California. Graduated from Northwestern University Womans Medical School in 1988, 38 years ago. Practices with The Regents of the University of California, a 31-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
38
Trained at
Northwestern University Womans Medical School
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Medical Plz #550
Los Angeles, CA 90095-0001
Phone: (310) 206-6688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence G68815 (CA)

Record details

NPI number1669496964
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESAugust 31, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolNORTHWESTERN UNIVERSITY WOMANS MEDICAL SCHOOL
Graduated 1988 (38 years in practice)
Group practice The Regents Of The University Of California — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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