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

Keane Evangelista

Individual provider Physical Therapist · NPI 1265130728

Keane Evangelista is a Physical Therapist in LA Mesa, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5696 Lake Murray Blvd
LA Mesa, CA 91942-1929
Phone: (619) 460-7871
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1265130728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2023
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 22, 2023
Mailing address7548 Charmant Dr Apt 1411, San Diego, CA 92122-5050

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