NELAE JONTUE KEENE PA-C
NPI 1790061208
Physician Assistant - Medical in Costa Mesa, CA

Q: What is Nelae Keene's NPI number?

The NPI number for Nelae Keene is 1790061208. It was assigned to this individual provider in the NPPES registry on October 28, 2011.

Q: What is Nelae Keene's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nelae Keene was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 28, 2011

2787 BRISTOL ST STE 210, COSTA MESA, CA 92626(949) 515-7300 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nelae Jontue Keene Pa-c NPPES

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

NELAE JONTUE KEENE PA-C (NPI 1790061208) is an individual medical provider in Costa Mesa, California, licensed in California (21875) and active in the NPI registry since October 2011. She maintains a secondary practice location in Irvine.

NPPES Registry Identity

NPI1790061208

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNELAE JONTUE KEENECredential: PA-C

Location Address2787 BRISTOL ST STE 210Costa Mesa, CA 92626-5956

Mailing Address2787 Bristol St Ste 210Costa Mesa, CA 92626-5956 · (949) 515-7300

Phone(949) 515-7300

Sole ProprietorNo

Enumeration DateOctober 28, 2011

Last NPPES UpdateDecember 12, 2018

✔ NPI 1790061208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 21875

2787 BRISTOL ST STE 210, Costa Mesa, CA 92626

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Secondary Practice Location 1

Location 11 Park Plz, Suite 600Irvine, CA 92614-5910 · Phone (949) 852-7377

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 Nelae Keene's NPI number?

The NPI number for Nelae Keene is 1790061208. It was assigned to this individual provider in the NPPES registry on October 28, 2011.

Where is Nelae Keene located?

Nelae Keene practices at 2787 Bristol St Ste 210, Costa Mesa, CA 92626. The listed phone number is (949) 515-7300.

What is Nelae Keene's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nelae Keene was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.