ANGELO JOVITO CAEZAR SANTOS SANTIAGO
NPI 1356069900
Nurse Practitioner - Psychiatric/Mental Health in Irvine, CA

Active since August 19, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1356069900
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANGELO JOVITO CAEZAR SANTOS SANTIAGO
Location Address17782 COWANIrvine, CA 92614-6030
Mailing Address1003 Concord StCosta Mesa, CA 92626-2807 · (714) 823-0069
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 19, 2022
NPPES CertifiedAugust 17, 2022
NPI 1356069900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95021619
17782 COWAN, Irvine, CA 92614

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2163890914
PECOS Enrollment IDI20221129000436
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.

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.

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 8

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
17782 COWAN, SUITE A
IRVINE, CA 92614
Psychiatry & Neurology (Psychiatry)
17782 COWAN, SUITE A
IRVINE, CA 92614
Specialist (Research Study)
17782 COWAN, SUITE B
IRVINE, CA 92614
Psychologist
17782 COWAN, SUITE A
IRVINE, CA 92614
Psychologist
17782 COWAN, STE A
IRVINE, CA 92614
Psychiatry & Neurology (Psychiatry)
17782 COWAN, SUITE A
IRVINE, CA 92614
Nurse Practitioner (Psychiatric/Mental Health)
17782 COWAN
IRVINE, CA 92614
Nurse Practitioner (Psychiatric/Mental Health)
17782 COWAN
IRVINE, CA 92614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356069900, enumerated as an "individual" on August 19, 2022.

The provider is located at 17782 COWAN IRVINE, CA 92614 and the phone number is (949) 722-7118.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.