KEA JA PAI MD
NPI 1104877513
General Practice in Fountain Valley, CA

Q: What is Kea Ja Pai's NPI number?

The NPI number for Kea Ja Pai is 1104877513. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Kea Ja Pai's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kea Ja Pai was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since May 12, 2006PECOS Enrolled

11160 WARNER AVE, # 107, FOUNTAIN VALLEY, CA 92708(714) 966-5205(914) 966-5205 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kea Ja Pai Md NPPES

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

KEA JA PAI MD (NPI 1104877513) is an individual general practice provider in Fountain Valley, California, licensed in California (C40734) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104877513

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameKEA JA PAICredential: MD

Location Address11160 WARNER AVE, # 107Fountain Valley, CA 92708

Mailing Address11160 Warner Ave, # 107Fountain Valley, CA 92708 · (714) 966-5205 · Fax (914) 966-5205

Phone(714) 966-5205

Fax(914) 966-5205

Sole ProprietorNo

Enumeration DateMay 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104877513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · C40734

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

11160 WARNER AVE, Fountain Valley, CA 92708

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Other Identifiers 2

Medicare UPINA88199

Medicare ID-Type UnspecifiedC40734

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kea Ja Pai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ZAFAR S KHAN M.D. A MEDICAL CORPORATION

Surgery

11160 WARNER AVE, SUITE 311
FOUNTAIN VALLEY, CA 92708

Orange County (714) 850-7300

CIRCLEMED HEALTHCARE, A MEDICAL CORPORATION

Internal Medicine

11160 WARNER AVE, STE 405
FOUNTAIN VALLEY, CA 92708

Orange County (714) 263-0923

MEDICAL CENTER DENTAL GROUP

Dentist

11160 WARNER AVE, SUITE 303
FOUNTAIN VALLEY, CA 92708

Orange County (714) 557-8492

SHLOMI ALBERT MD INC

Urology

11160 WARNER AVE, SUITE 423
FOUNTAIN VALLEY, CA 92708

Orange County (714) 549-3333

LEDUC MEDICAL GROUP, INC.

Internal Medicine (Gastroenterology)

11160 WARNER AVE, SUITE 101
FOUNTAIN VALLEY, CA 92708

Orange County (714) 540-0105

DR. ELIZABETH Y NGHIEM M.D.

Internal Medicine (Infectious Disease)

11160 WARNER AVE, SUITE 323
FOUNTAIN VALLEY, CA 92708

Orange County (714) 751-7002

DR. JYOTSNA KENI M.D.

Pediatrics (Pediatric Endocrinology)

11160 WARNER AVE, SUITE 117
FOUNTAIN VALLEY, CA 92708

Orange County (714) 432-1950

PAYAM FARJOODI MD INC

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

11160 WARNER AVE
FOUNTAIN VALLEY, CA 92708

Orange County (714) 850-7300

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 Kea Ja Pai's NPI number?

The NPI number for Kea Ja Pai is 1104877513. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Kea Ja Pai located?

Kea Ja Pai practices at 11160 Warner Ave # 107, Fountain Valley, CA 92708. The listed phone number is (714) 966-5205.

What is Kea Ja Pai's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kea Ja Pai enrolled in Medicare?

Yes. Kea Ja Pai is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kea Ja Pai was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.