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

Kelly Eguchi

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1013453612

Kelly Eguchi is a Nurse Practitioner in Irvine, California. Qualified in 2021, 5 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
5
Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

17782 Cowan Ste A
Irvine, CA 92614-6041
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 95017830 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95135887 (CA)

Record details

NPI number1013453612
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2017
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 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

Other providers in Irvine