Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jyotsna Keni, MD

Individual provider Pediatrics Physician · NPI 1104061407

Dr. Jyotsna Keni, MD is a Pediatric Medicine in Fountain Valley, California. Qualified in 2003, 23 years ago. Practices with Marque Medical Clinic, Inc, a 22-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11160 Warner Ave Ste 117
Fountain Valley, CA 92708-4008
Phone: (714) 432-1950
Fax: (714) 432-1953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence A98869 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A98869 (CA)

Record details

NPI number1104061407
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 16, 2008
Last updated in NPPESMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesENDOCRINOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Marque Medical Clinic, Inc. — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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