Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelo Jovito Caezar Santos Santiago

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1356069900

Angelo Jovito Caezar Santos Santiago is a Nurse Practitioner in Irvine, California. Qualified in 2022, 4 years ago. Practices with Progeny Psychiatric Clinic a Medical Corporation, a 33-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

17782 Cowan
Irvine, CA 92614-6030
Phone: (949) 722-7118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95021619 (CA)

Record details

NPI number1356069900
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Progeny Psychiatric Clinic A Medical Corporation — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Irvine