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

Individual provider Medical Physician Assistant · NPI 1790061208

Nelae Jontue Keene, PA-C is a Medical Physician Assistant in Costa Mesa, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2011
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

2787 Bristol St Ste 210
Costa Mesa, CA 92626-5956
Phone: (949) 515-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Park Plz, Irvine, CA 92614-5910 — (949) 852-7377

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 21875 (CA)

Record details

NPI number1790061208
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2011
Last updated in NPPESDecember 12, 2018

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