Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kasey Nicole Fontaine, PA-C

Individual provider Physician Assistant · NPI 1164044731

Kasey Nicole Fontaine, PA-C is a Physician Assistant in LA Jolla, California. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9850 Genesee Ave Ste 820
LA Jolla, CA 92037-1219
Phone: (858) 677-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61270555 (WA)

Record details

NPI number1164044731
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 17, 2020
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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