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

Mark Keller

Individual provider Certified Registered Nurse Anesthetist · NPI 1821415324

Mark Keller is a Certified Registered Nurse Anesthetist (CRNA) in San Diego, California. Qualified in 2013, 13 years ago. Practices with Samantha Polikowski Anesthesia Inc, a 35-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95000063 (CA)

Record details

NPI number1821415324
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 21, 2014
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Samantha Polikowski Anesthesia Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Diego