Individual provider · Type 1 NPI

Kasey Nicole Fontaine, PA-C

Physician Assistant · La Jolla, CA

NPI number 1164044731 Active

Practice location

9850 Genesee Ave Ste 820
La Jolla, CA 92037-1219

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA61270555 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164044731

Kasey Nicole Fontaine, PA-C's National Provider Identifier is 1164044731, issued on May 17, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in La Jolla, CA. The record was last updated on Aug 5, 2026.