KEA JA PAI MD
NPI 1104877513
General Practice in Fountain Valley, CA

NPI Status: Active since May 12, 2006

Contact Information

11160 WARNER AVE
# 107
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 966-5205
Fax: (914) 966-5205

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  • Individual
  • Female
  • General Practice
  • PECOS Enrolled

About KEA JA PAI

This page provides the complete NPI Profile along with additional information for Kea Ja Pai, a primary care provider established in Fountain Valley, California with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1104877513 assigned on May 2006. The practitioner's primary taxonomy code is 208D00000X with license number C40734 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1104877513
Provider Name
KEA JA PAI MD
Gender
Female
Entity Type
Individual
Location Address
11160 WARNER AVE # 107 FOUNTAIN VALLEY, CA 92708
Location Phone
(714) 966-5205
Location Fax
(914) 966-5205
Mailing Address
11160 WARNER AVE # 107 FOUNTAIN VALLEY, CA 92708
Mailing Phone
(714) 966-5205
Mailing Fax
(914) 966-5205
Is Sole Proprietor?
No
Enumeration Date
05-12-2006
Last Update Date
07-08-2007
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A primary care provider (PCP) like Kea Ja Pai sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
C40734
License State
CA
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A88199MEDICARE UPIN (02) 
C40734MEDICARE ID-TYPE UNSPECIFIED (04) 

Medicare Participation & PECOS Enrollment Status

Kea Ja Pai is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104877513
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041671452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 7 + 1 + 4 + 5 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1104877513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396748240DR. STEVEN CRAIG CHAN D.D.S.
Individual
Dentist (General Practice)11160 WARNER AVE STE 205
FOUNTAIN VALLEY, CA 92708
(714) 957-1044
1629068689 SANG KHILL NOH MD
Individual
Internal Medicine11160 WARNER AVE STE 215
FOUNTAIN VALLEY, CA 92708
(714) 957-6055
1023078235CIRCLEMED HEALTHCARE, A MEDICAL CORPORATION
Organization
Internal Medicine11160 WARNER AVE STE 405
FOUNTAIN VALLEY, CA 92708
(714) 263-0923
1447208798DR. STEPHEN MARCEL SHAPIRO M.D.
Individual
General Practice11160 WARNER AVE SUITE #223
FOUNTAIN VALLEY, CA 92708
(949) 244-3667
1407897473 PHUC HUY TRUONG MD
Individual
Pediatrics11160 WARNER AVE STE 207
FOUNTAIN VALLEY, CA 92708
(714) 966-2045
1356378160DR. MARVIN TUVERA REYES M.D.
Individual
Internal Medicine (Infectious Disease)11160 WARNER AVE
FOUNTAIN VALLEY, CA 92708
(714) 751-7002
1144259946DR. SHLOMI ALBERT M.D.
Individual
Urology11160 WARNER AVE SUITE 423
FOUNTAIN VALLEY, CA 92708
(714) 549-3333
1992713028DR. JOHN K LOK M.D.
Individual
Internal Medicine (Infectious Disease)11160 WARNER AVE SUITE 323
FOUNTAIN VALLEY, CA 92708
(714) 751-7002
1548272768DR. JAVIER DAVILA M.D.
Individual
Internal Medicine (Infectious Disease)11160 WARNER AVE SUITE 323
FOUNTAIN VALLEY, CA 92708
(714) 751-7002
1083626212DR. ELIZABETH Y NGHIEM M.D.
Individual
Internal Medicine (Infectious Disease)11160 WARNER AVE SUITE 323
FOUNTAIN VALLEY, CA 92708
(714) 751-7002
1760584551DR. HAE-YOUNG CHO M.D.
Individual
Specialist11160 WARNER AVE STE 213
FOUNTAIN VALLEY, CA 92708
(714) 241-7732
1972603389DR. REGINA M. HOVEY M.D.
Individual
Urology11160 WARNER AVE SUITE 401
FOUNTAIN VALLEY, CA 92708
(714) 546-1121
1659451458DR. STEPHEN ISTVAN TORDAY M.D.
Individual
Obstetrics & Gynecology11160 WARNER AVE #301
FOUNTAIN VALLEY, CA 92708
(714) 434-4777
1114009693DR. DAVID G. DIAZ M.D.
Individual
Specialist11160 WARNER AVE SUITE # 411
FOUNTAIN VALLEY, CA 92708
(714) 513-1399
1457430886 TRUONG-SINH LEDUC M.D.
Individual
Internal Medicine11160 WARNER AVE SUITE 101
FOUNTAIN VALLEY, CA 92708
(714) 540-0105
1245301092MR. ALBERTO JOSE CACHERO JR.
Individual
Physical Therapist11160 WARNER AVE SUITE 311
FOUNTAIN VALLEY, CA 92708
(714) 850-7300
1386767457DANIEL T STEIN, M.D. A MEDICAL CORPORATION
Organization
Surgery11160 WARNER AVE SUITE 311
FOUNTAIN VALLEY, CA 92708
(714) 850-7300
1679696728BRET K. BATCHELOR MD A PROFESSIONAL CORPORATION
Organization
Surgery11160 WARNER AVE SUITE 311
FOUNTAIN VALLEY, CA 92708
(714) 850-7300
1013132901ZAFAR S KHAN M.D. A MEDICAL CORPORATION
Organization
Surgery11160 WARNER AVE SUITE 311
FOUNTAIN VALLEY, CA 92708
(714) 850-7300
1457547671MR. DUSTIN LOWELL BRIGGS CST, CSFA
Individual
Specialist/Technologist, Other (Surgical Assistant)11160 WARNER AVE SUITE 109
FOUNTAIN VALLEY, CA 92708
(714) 966-8125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104877513, enumerated in the NPI registry as an "individual" on May 12, 2006

The provider is located at 11160 Warner Ave # 107 Fountain Valley, Ca 92708 and the phone number is (714) 966-5205

The provider's speciality is General Practice with taxonomy code 208D00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on May 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.