ANGELO JOVITO CAEZAR SANTOS SANTIAGO
NPI 1356069900
Nurse Practitioner - Psychiatric/Mental Health in Irvine, CA
About Angelo Jovito Caezar Santos Santiago NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELO JOVITO CAEZAR SANTOS SANTIAGO (NPI 1356069900) is an individual psychiatric/mental health provider in Irvine, California, licensed in California (95021619) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Angelo Jovito Caezar Santos Santiago is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Angelo Santiago reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Irvine, CA 92614
- Reassigned Medicare billing, California enrollment
- 39 clinicians in this Medicare group
Irvine, CA 92614
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Newport Beach, CA 92662
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Jason Kellogg MD Inc
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRVINE, CA 92614
IRVINE, CA 92614
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 Angelo Santiago's NPI number?
The NPI number for Angelo Santiago is 1356069900. It was assigned to this individual provider in the NPPES registry on August 19, 2022.
Where is Angelo Santiago located?
Angelo Santiago practices at 17782 Cowan, Irvine, CA 92614. The listed phone number is (949) 722-7118.
What is Angelo Santiago's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Angelo Santiago enrolled in Medicare?
Yes. Angelo Santiago is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Angelo Santiago's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angelo Santiago reassigns Medicare benefits to 3 organizations: Progeny Psychiatric Clinic A Medical Corporation (Irvine, CA), Progeny Tms Corporation (Irvine, CA) and Jason Kellogg M.D. Inc (Newport Beach, CA). Each 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 Angelo Santiago'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 Angelo Santiago was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Angelo Jovito Caezar Santos Santiago · NPI 1356069900
Psychiatric/Mental Health physician in Irvine, California. Individual provider, active in the CMS NPPES registry since August 19, 2022.
## Identity
- **NPI:** 1356069900 (Entity type: Individual)
- **Enumerated:** August 19, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95021619 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 17782 COWAN, Irvine, CA 92614-6030
- **Phone:** (949) 722-7118
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Progeny Psychiatric Clinic A Medical Corporation (NPI 1548735202, Irvine, CA); Progeny Tms Corporation (NPI 1558062265, Irvine, CA); Jason Kellogg M.D. Inc (NPI 1235391624, Newport Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1356069900) · Data from the CMS NPPES public registry.