Keaton Skaggs

NPI 1982493128 · on the registry since 2025

Practice

Address: 983 Sonoma Ave
Santa Rosa, CA 95404
Phone: (707) 575-4357
Organisation at this address: Buckelew Programs
Drug Abuse Alternatives Center
Santa Rosa Community Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 172V00000X
172V00000X
Also registered as: 247200000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California