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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KASEY NICOLE FONTAINE, PA-C

Active Sole Proprietor

KASEY NICOLE FONTAINE, PA-C is a Physician Assistant healthcare provider located in LA JOLLA, California. NPI 1164044731 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LA JOLLA, CA

Registration Details

NPI Number
1164044731
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2020 (6.2375076028183 yrs)
Last Updated
Jan 30, 2025
License
PA61270555 (WA)
Sole Proprietor
Yes

Practice Information

Address
9850 GENESEE AVE STE 820
LA JOLLA, CA, 920371219
Browse CA providers · Browse ZIP 92037
Phone
8586770777
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LA JOLLA, CA

Name Credential NPI
CHRISTOPHER E SADLER P.A. 1306838842
JOSE LUIS RUIZ P.A. 1235122961
MRS. ABHA M BOSWORTH PA 1629067053
HEATHER C. BONAGUIDI P.A. 1669458691
DANIEL J. COLLINS P.A. 1548247158
DORIS H. ELIAS P.A. 1457338089
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.