Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KEELY LARSON
NPI 1043138092
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since July 08, 2026
16601 NIGHT HAWK LN, SAN DIEGO, CA 92127(858) 487-0877 Get Directions Write a Review

NPPES record added: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keely Larson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEELY LARSON (NPI 1043138092) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1043138092
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKEELY LARSON
Location Address16601 NIGHT HAWK LNSan Diego, CA 92127-4457
Mailing Address9055 Balboa AveSan Diego, CA 92123-1509
Sole ProprietorNo
Enumeration DateJuly 8, 2026
NPPES CertifiedJuly 6, 2026
NPI 1043138092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
16601 NIGHT HAWK LN, San Diego, CA 92127

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
16601 NIGHT HAWK LN
SAN DIEGO, CA 92127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keely Larson's NPI number?

The NPI number for Keely Larson is 1043138092. It was assigned to this individual provider in the NPPES registry on July 8, 2026.

Where is Keely Larson located?

Keely Larson practices at 16601 Night Hawk Ln, San Diego, CA 92127. The listed phone number is (858) 487-0877.

What is Keely Larson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keely Larson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.