IndividualActive
Alan Kellermann, MD
NPI 1972747384 · Family Medicine Physician · Grass Valley, CA
Provider details
- NPI number
- 1972747384
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A24844 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 Crown Point Cir Ste 110
Grass Valley, CA 95945-9561
Phone: (530) 265-7154
Fax: (530) 271-7269
Approximate (ZIP-level) locationGet directions
Mailing address
10388 Boulder St
Nevada City, CA 95959-2627
Additional practice locations (2)
- 1345 Whispering Pines LnGrass Valley, CA 95945Phone: (530) 273-4984Fax: (530) 273-7255
- 180 Sierra College DrGrass Valley, CA 95945-5768Phone: (530) 273-9541
Registry dates
- Enumerated
- 2009-04-29
- Last updated
- 2021-10-19
- Certified
- 2021-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.