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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: October 25, 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
Phone(949) 753-9000
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
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Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Mangonon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of California Irvine
8.3 mi
Federally Qualified Health Center (FQHC)
800 N MAIN ST
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
NPI 1851325906 (714) 456-6785
Hoag Clinic
9.2 mi
Primary Care
510 SUPERIOR AVE
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
  • 529 clinicians in this Medicare group
NPI 1942799523 (949) 791-3001

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 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.

JAMES T. YANG, M.D., INC
Obstetrics & Gynecology
16300 SAND CANYON AVE, SUITE 807
IRVINE, CA 92618
Orange County (949) 753-7999
VICTOR VITALY STRELZOW M.D.
Otolaryngology
16300 SAND CANYON AVE, SUITE 704
IRVINE, CA 92618
Orange County (949) 753-9299
WEST COAST PETCT LLC
Clinic/Center (Radiology)
16300 SAND CANYON AVE, SUITE 103
IRVINE, CA 92618
Orange County (866) 533-4296
IRVINE PEDIATRICS, INC
Clinic/Center (Primary Care)
16300 SAND CANYON AVE, SUITE 811
IRVINE, CA 92618
Orange County (949) 753-9000
DR. JAMES P LIN M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
16300 SAND CANYON AVE, SUITE 901
IRVINE, CA 92618
Orange County (949) 453-8600
SIAMAK MILANCHI, MD INC.
Colon & Rectal Surgery
16300 SAND CANYON AVE, SUITE 604
IRVINE, CA 92618
Orange County (949) 429-0268
NEWPORT BEACH OB/GYN MEDICAL GROUP
Obstetrics & Gynecology
16300 SAND CANYON AVE, SUITE 301
IRVINE, CA 92618
Orange County (949) 642-5775
CANYON PACIFIC OB GYN
Obstetrics & Gynecology (Obstetrics)
16300 SAND CANYON AVE, 805
IRVINE, CA 92618
Orange County (949) 753-0601

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.

Which organizations bill Medicare for Jessica Mangonon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mangonon reassigns Medicare benefits to 2 organizations: University Of California Irvine (Santa Ana, CA) and Hoag Clinic (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 Jessica Mangonon'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 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.