JESSICA COLLEEN MANGONON M.D.
NPI 1962769968
Pediatrics in Irvine, CA

Active since April 13, 2012PECOS Enrolled
16300 SAND CANYON AVE, #811, IRVINE, CA 92618(949) 753-9000(949) 753-5044 Get Directions Write a Review

NPPES record last updated: June 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Colleen Mangonon M.d. NPPES

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

JESSICA COLLEEN MANGONON M.D. (NPI 1962769968) is an individual pediatrics provider in Irvine, California, licensed in California (A128287) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962769968
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJESSICA COLLEEN MANGONONCredential: M.D.
Location Address16300 SAND CANYON AVE, #811Irvine, CA 92618-3711
Mailing Address16300 Sand Canyon Ave, #811Irvine, CA 92618-3711 · (949) 753-9000 · Fax (949) 753-5044
Fax(949) 753-5044
Sole ProprietorNo
Enumeration DateApril 13, 2012
Last NPPES UpdateJune 1, 2017
NPI 1962769968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A128287
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
16300 SAND CANYON AVE, Irvine, CA 92618

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Colleen Mangonon M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 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 20

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

Obstetrics & Gynecology
16300 SAND CANYON AVE, SUITE 807
IRVINE, CA 92618
Otolaryngology
16300 SAND CANYON AVE, SUITE 704
IRVINE, CA 92618
Clinic/Center (Radiology)
16300 SAND CANYON AVE, SUITE 103
IRVINE, CA 92618
Clinic/Center (Primary Care)
16300 SAND CANYON AVE, SUITE 811
IRVINE, CA 92618
Obstetrics & Gynecology (Reproductive Endocrinology)
16300 SAND CANYON AVE, SUITE 901
IRVINE, CA 92618
Colon & Rectal Surgery
16300 SAND CANYON AVE, SUITE 604
IRVINE, CA 92618
Obstetrics & Gynecology
16300 SAND CANYON AVE, SUITE 301
IRVINE, CA 92618
Obstetrics & Gynecology (Obstetrics)
16300 SAND CANYON AVE, 805
IRVINE, CA 92618

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 Jessica Mangonon's NPI number?

The NPI number for Jessica Mangonon is 1962769968. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Jessica Mangonon located?

Jessica Mangonon practices at 16300 Sand Canyon Ave #811, Irvine, CA 92618. The listed phone number is (949) 753-9000.

What is Jessica Mangonon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jessica Mangonon enrolled in Medicare?

Yes. Jessica Mangonon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Mangonon was last updated on June 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.