Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Justin Keadle, PA-C

Individual provider Physician Assistant · NPI 1801210026

Mr. Justin Keadle, PA-C is a Physician Assistant in San Luis Obispo, California. Qualified in 2013, 13 years ago. Practices with David B. Hammer, a 116-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Maryland.

Years since qualifying
13
Licensed in
CA, MD
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone: (805) 546-1997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA53511 (CA)
Physician Assistant Taxonomy 363A00000X · Licence C05327 (MD)

Record details

NPI number1801210026
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2014
Last updated in NPPESSeptember 22, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice David B. Hammer — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in San Luis Obispo