Progeny Psychiatric Clinic A Medical Corporation - Medicare Primary Care in Irvine, CA

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Progeny Psychiatric Clinic A Medical Corporation is a medicare enrolled primary clinic (Psychiatry & Neurology - Psychiatry) in Irvine, California. The current practice location for Progeny Psychiatric Clinic A Medical Corporation is 17782 Cowan Ste A, Irvine, California. For appointments, you can reach them via phone at (949) 722-7118. The mailing address for Progeny Psychiatric Clinic A Medical Corporation is 17782 Cowan Ste A, Irvine, California and phone number is (949) 722-7118.

Progeny Psychiatric Clinic A Medical Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548735202. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (949) 722-7118.

Contact Information

Progeny Psychiatric Clinic A Medical Corporation
17782 Cowan Ste A
Irvine
CA 92614-6041
(949) 722-7118
(949) 396-0965

Map and Direction


Primary Care Clinic Profile

Full NameProgeny Psychiatric Clinic A Medical Corporation
SpecialityPsychiatry & Neurology
Location17782 Cowan Ste A, Irvine, California
Authorized Official Name and PositionJason P Kellogg (CEO)
Authorized Official Contact9497227118
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Progeny Psychiatric Clinic A Medical Corporation
17782 Cowan Ste A
Irvine
CA 92614-6041

Ph: (949) 722-7118		Progeny Psychiatric Clinic A Medical Corporation
17782 Cowan Ste A
Irvine
CA 92614-6041

Ph: (949) 722-7118

NPI Details:

NPI Number1548735202
Provider Enumeration Date10/09/2018
Last Update Date08/08/2019

Medicare PECOS Information:

Medicare PECOS PAC ID4688904592
Medicare Enrollment IDO20190919000593

Medical Identifiers

Medical identifiers for Progeny Psychiatric Clinic A Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548735202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Progeny Psychiatric Clinic A Medical Corporation acts as a billing entity for following providers:
Provider NameBrian T Lam
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194846725
PECOS PAC ID: 0042202913
Enrollment ID: I20040331001233
Provider NameCharles Tuan-tu S Nguyen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942380118
PECOS PAC ID: 4688607906
Enrollment ID: I20050915001194
Provider NameJason P Kellogg
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1952331530
PECOS PAC ID: 5597789123
Enrollment ID: I20060120000873
Provider NameGeoffrey A Dibella
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1982730230
PECOS PAC ID: 1153416722
Enrollment ID: I20070927000906
Provider NameFarhad G Nikoo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740485101
PECOS PAC ID: 9133214083
Enrollment ID: I20090223000335
Provider NameReginald Casilang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780784488
PECOS PAC ID: 6608923156
Enrollment ID: I20090420000659
Provider NameParvin Afshar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1437247335
PECOS PAC ID: 8729248992
Enrollment ID: I20120326000337
Provider NameClint H Salo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1811159221
PECOS PAC ID: 5193988301
Enrollment ID: I20120529000178
Provider NameLinda H Trinh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124333828
PECOS PAC ID: 0547498834
Enrollment ID: I20140113001084
Provider NameMichelle C Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740601269
PECOS PAC ID: 1850516568
Enrollment ID: I20140711001821
Provider NameCindy Capretz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134409907
PECOS PAC ID: 0042533986
Enrollment ID: I20141229000312
Provider NamePhuong Tran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275990111
PECOS PAC ID: 4981900297
Enrollment ID: I20160314000930
Provider NameJayson C Jun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760808240
PECOS PAC ID: 1951607688
Enrollment ID: I20160929001727
Provider NameDylan Thomas Guiney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295242410
PECOS PAC ID: 2567714983
Enrollment ID: I20181015000173
Provider NameHong T Tran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447723879
PECOS PAC ID: 9931447992
Enrollment ID: I20190218000209
Provider NameMelissa Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598252173
PECOS PAC ID: 5698027936
Enrollment ID: I20191025001426
Provider NameMaria D Acevedo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992363535
PECOS PAC ID: 2860724770
Enrollment ID: I20191025002338
Provider NameJada Alston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427692375
PECOS PAC ID: 4082044532
Enrollment ID: I20200423001885
Provider NameGrace Marasigan Dualan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225682446
PECOS PAC ID: 9931539491
Enrollment ID: I20200423002548
Provider NameHelen Oh Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497380356
PECOS PAC ID: 5092136697
Enrollment ID: I20200608001928
Provider NameEdward Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053088799
PECOS PAC ID: 0941694178
Enrollment ID: I20220303001268
Provider NameSylvia Cyntia Guthrie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861146045
PECOS PAC ID: 9537546999
Enrollment ID: I20220524002960
Provider NameFrancis Mae Magdadaro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376200337
PECOS PAC ID: 3678951472
Enrollment ID: I20220607002704
Provider NameTuyen Ngoc Ho
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235612656
PECOS PAC ID: 0244611713
Enrollment ID: I20220714001497
Provider NameAgnes Andal Maramba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770158172
PECOS PAC ID: 3870979081
Enrollment ID: I20220926001298
Provider NameKelly Joelle Eguchi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013453612
PECOS PAC ID: 5597141747
Enrollment ID: I20220926002785
Provider NameHilary Julianna Breedon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215602883
PECOS PAC ID: 5698151561
Enrollment ID: I20220929001585
Provider NameJenna Nhan Vo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699448969
PECOS PAC ID: 0840676599
Enrollment ID: I20221003002758
Provider NameSalina Vong Lum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245710391
PECOS PAC ID: 8224414719
Enrollment ID: I20221006002454
Provider NameKristi Lebesco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386279172
PECOS PAC ID: 4880060961
Enrollment ID: I20221013003154
Provider NameVanessa Michelle Yan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790458883
PECOS PAC ID: 9931575958
Enrollment ID: I20221017001687
Provider NameTiffany Thanh Tran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922770551
PECOS PAC ID: 4981070927
Enrollment ID: I20221017002868
Provider NameAngelo Jovito Caezar Santos Santiago
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356069900
PECOS PAC ID: 2163890914
Enrollment ID: I20221129000436
Provider NameJennifer Ann Java
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053046912
PECOS PAC ID: 6901277268
Enrollment ID: I20230124001506
Provider NameJason Giang
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104440163
PECOS PAC ID: 4385097294
Enrollment ID: I20240126003127
Provider NameRafael Speck
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1154888055
PECOS PAC ID: 8921443771
Enrollment ID: I20240301003629

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.