Individual provider · Type 1 NPI
Christian-Jeff Mistica Pontiga
Psychiatric/Mental Health Nurse Practitioner · Newport Beach, CA
NPI number
1174176804
Active
Practice location
1048 Irvine Ave # 1056
Newport Beach, CA 92660-4602
Fax (562) 924-1804
Mailing address
5877 Los Encinos St
Buena Park, CA 90620-3401
Other practice locations
- 5877 Los Encinos St, Buena Park, CA 90620-3401 · (650) 580-8797
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 838058 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP95031413 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1174176804
Christian-Jeff Mistica Pontiga's National Provider Identifier is 1174176804, issued on Jul 22, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 21, 2025.