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Keith Arlyn Fenderson, M.D

Emergency Medicine Physician in Roseville, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902824873

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Registry record

Entity type Individual (Type 1)
Name Keith Arlyn Fenderson
Credential M.D
Sex Male
Practice address 1 Medical Plaza Dr, Roseville, CA, 95661
Enumeration date Jul 18, 2006
Last updated in NPPES Oct 24, 2007

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License G42277 (CA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
00G422770 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Keith Fenderson practice?
The practice location on file with NPPES is in Roseville, CA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Keith Fenderson?
The National Provider Identifier (NPI) for Keith Fenderson is 1902824873, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-24.