CHRISTIAN-JEFF MISTICA PONTIGA NPI 1174176804

NPI Information

  • NPI: 1174176804
  • Provider Name: CHRISTIAN-JEFF MISTICA PONTIGA
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1048 IRVINE AVE # 1056
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (949) 340-2111

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NPI Details

Christian-jeff Mistica Pontiga is a psychiatric/mental health nurse practitioner in Newport Beach, CA with 2 years of experience. Christian-jeff Mistica Pontiga NPI is 1174176804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1048 IRVINE AVE # 1056
NEWPORT BEACH, CA
ZIP 92660-602
Phone: (949) 340-2111
Fax: (562) 924-1804

The NPI 1174176804 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2019 and was last updated on 7/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse838058CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNP95031413CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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