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CHRISTIAN-JEFF MISTICA PONTIGA
NPI 1174176804
Nurse Practitioner - Psychiatric/Mental Health in Newport Beach, CA

Active since July 22, 2019PECOS Enrolled
1048 IRVINE AVE # 1056, NEWPORT BEACH, CA 92660(949) 340-2111(562) 924-1804 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2025, Apr 8, 2025, Feb 19, 2025 and 2 more (5 updates tracked since 2019).

About Christian-jeff Mistica Pontiga NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN-JEFF MISTICA PONTIGA (NPI 1174176804) is an individual psychiatric/mental health provider in Newport Beach, California, licensed in California (NP95031413) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Buena Park.

NPPES Registry Identity

NPI1174176804
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCHRISTIAN-JEFF MISTICA PONTIGA
Location Address1048 IRVINE AVE # 1056Newport Beach, CA 92660-4602
Mailing Address5877 Los Encinos StBuena Park, CA 90620-3401 · (650) 580-8797
Phone(949) 340-2111
Fax(562) 924-1804
Sole ProprietorNo
Enumeration DateJuly 22, 2019
Last NPPES UpdateJuly 21, 20255 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1174176804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP95031413
Also ListedRegistered NurseTaxonomy 163W00000X · License 838058 (CA)
1048 IRVINE AVE # 1056, Newport Beach, CA 92660
Open in Google Maps ↗

Secondary Practice Location 1

Location 15877 Los Encinos StBuena Park, CA 90620-3401 · Phone (650) 580-8797

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian-jeff Mistica Pontiga is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Christian-jeff Pontiga reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jason Kellogg M.D. Inc
1.7 mi
Psychiatry
123 TURQUOISE AVE
Newport Beach, CA 92662
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Jason Kellogg MD Inc
  • 25 clinicians in this Medicare group
NPI 1235391624 (949) 340-2111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOAH SAKAMOTO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1048 IRVINE AVE # 1056
NEWPORT BEACH, CA 92660
Orange County (714) 488-9976
JAGAUT VENTURES LLC
Psychiatry & Neurology (Psychiatry)
1048 IRVINE AVE # 1056
NEWPORT BEACH, CA 92660
Orange County (949) 616-2588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian-jeff Pontiga's NPI number?

The NPI number for Christian-jeff Pontiga is 1174176804. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Christian-jeff Pontiga located?

Christian-jeff Pontiga practices at 1048 Irvine Ave # 1056, Newport Beach, CA 92660. The listed phone number is (949) 340-2111.

What is Christian-jeff Pontiga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Christian-jeff Pontiga enrolled in Medicare?

Yes. Christian-jeff Pontiga is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christian-jeff Pontiga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christian-jeff Pontiga reassigns Medicare benefits to Jason Kellogg M.D. Inc (Newport Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christian-jeff Pontiga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christian-jeff Pontiga was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.