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CARECONNECTMD CA PC
NPI 1366063125
Family Medicine in Costa Mesa, CA

Active since May 04, 2020
3090 BRISTOL ST STE 200, COSTA MESA, CA 92626(888) 789-9585(562) 803-4500 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2021, May 4, 2020 (2 updates tracked since 2020).

About Careconnectmd Ca Pc NPPES

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

CARECONNECTMD CA PC (NPI 1366063125) is a healthcare organization registered as a family medicine in Costa Mesa, California and active in the NPI registry since May 2020. The organization lists Christine Mlot, President, as its authorized official.

NPPES Registry Identity

NPI1366063125
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARECONNECTMD CA PC
Location Address3090 BRISTOL ST STE 200Costa Mesa, CA 92626-3061
Mailing Address16162 Beach Blvd Ste 100Huntington Beach, CA 92647-3828 · (888) 789-9585
Phone(888) 789-9585
Fax(562) 803-4500
Organization SubpartNo
Authorized OfficialChristine MlotPresident · (888) 789-9585
Enumeration DateMay 4, 2020
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1366063125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3090 BRISTOL ST STE 200, Costa Mesa, CA 92626
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Careconnectmd Ca Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

192

Medicare enrollment records show 192 clinicians reassign Medicare billing to Careconnectmd Ca PC, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Internal Medicine75
Nurse Practitioner59
Family Practice35
Hospitalist10
Emergency Medicine2
General Practice2
Neurology2
Dermatology1
6 other specialties6

Nearest to this location (20)

See all 192
Mary Grace Matin, FNP-C
Nurse Practitioner
NPI 1427779297
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOSSame address
Orlando Collado, MD
Family Practice
NPI 1205964947
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOS✔ Accepts MedicareSame address
Kristyn Gonzaga, NP
Nurse Practitioner
NPI 1750170411
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOS✔ Accepts MedicareSame address
Shelley Han, M.D.
Internal Medicine
NPI 1114345683
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOS✔ Accepts MedicareSame address
Sowmya Krishnan, NP
Nurse Practitioner
NPI 1164110219
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOS✔ Accepts MedicareSame address
Kristina Stratton, NP
Nurse Practitioner
NPI 1467968560
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOS✔ Accepts MedicareSame address
Iman Guirgis
General Practice
NPI 1154774933
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOS✔ Accepts MedicareSame address
Mary Redden, FNP-C
Nurse Practitioner
NPI 1508381302
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOS✔ Accepts MedicareSame address
Marjorie Chan, NP
Nurse Practitioner
NPI 1174811624
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOS✔ Accepts MedicareSame address
Roslyn Mazi
Nurse Practitioner
NPI 1992449326
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(714) 992-1182
✔ PECOS✔ Accepts MedicareSame address
Kimberly Moreau
Nurse Practitioner
NPI 1881431864
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOS✔ Accepts MedicareSame address
Joanna Yao, NP
Nurse Practitioner
NPI 1861680555
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOSSame address
James Agatep
Nurse Practitioner
NPI 1578939153
3401 W SUNFLOWER AVE SUITE 250
Santa Ana, CA 92704
(714) 619-8777
✔ PECOS✔ Accepts Medicare1.8 mi
Magdiel De La Rosa, AGACNP
Nurse Practitioner
NPI 1669845186
3401 W SUNFLOWER AVE STE 250
Santa Ana, CA 92704
(888) 789-9585
✔ PECOS✔ Accepts Medicare1.8 mi
Steven Farber, M.D.
Internal Medicine
NPI 1245248574
3401 W SUNFLOWER AVE STE 250
Santa Ana, CA 92704
(888) 789-9585
✔ PECOS✔ Accepts Medicare1.8 mi
John Feng, MD
Internal Medicine
NPI 1346660081
3401 W SUNFLOWER AVE STE 100
Santa Ana, CA 92704
(888) 789-9585
✔ PECOS1.8 mi
George Fields, DO
Family Practice
NPI 1457387482
3401 W. SUNFLOWER AVE SUITE 250
Santa Ana, CA 92704
(714) 619-8777
✔ PECOS✔ Accepts Medicare1.8 mi
Wesam Houshan, MD
Internal Medicine
NPI 1356467112
3401 W SUNFLOWER AVE STE 250
Santa Ana, CA 92704
(714) 992-1182
✔ PECOS✔ Accepts Medicare1.8 mi
Christine Mlot, M.D.
General Practice
NPI 1538240239
3401 W. SUNFLOWER AVE. SUITE 250
Santa Ana, CA 92704
(714) 619-8777
✔ PECOS1.8 mi
Thuy Nguyen, M.D.
Family Practice
NPI 1891015871
3401 W SUNFLOWER AVE. SUITE 250
Santa Ana, CA 92704
(714) 619-8777
✔ PECOS✔ Accepts Medicare1.8 mi
See all 192 clinicians

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

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 Careconnectmd Ca PC's NPI number?

The NPI number for Careconnectmd Ca PC is 1366063125. It was assigned to this organization in the NPPES registry on May 4, 2020.

Where is Careconnectmd Ca PC located?

Careconnectmd Ca PC is located at 3090 Bristol St Ste 200, Costa Mesa, CA 92626. The listed phone number is (888) 789-9585.

What is Careconnectmd Ca PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Careconnectmd Ca PC enrolled in Medicare?

Yes. Careconnectmd Ca PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Careconnectmd Ca PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 192 clinicians in 14 Medicare specialties reassign their Medicare billing to Careconnectmd Ca PC. A 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 the clinician's services. The largest specialties are Internal Medicine (75), Nurse Practitioner (59) and Family Practice (35). Of these, 12 practice at this address and 40 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Careconnectmd Ca PC was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.