Progeny Psychiatric Group - Medicare Primary Care in Newport Beach, CA

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Progeny Psychiatric Group is a medicare enrolled primary clinic (Psychiatry & Neurology - Psychiatry) in Newport Beach, California. The current practice location for Progeny Psychiatric Group is 123 Turquoise Ave, Newport Beach, California. For appointments, you can reach them via phone at (949) 340-2111. The mailing address for Progeny Psychiatric Group is 1048 Irvine Ave # 1056, Newport Beach, California and phone number is (949) 340-2111.

Progeny Psychiatric Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235391624. 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) 340-2111.

Contact Information

Progeny Psychiatric Group
123 Turquoise Ave
Newport Beach
CA 92662-1036
(949) 340-2111
(714) 495-4105

Map and Direction


Primary Care Clinic Profile

Full NameProgeny Psychiatric Group
SpecialityPsychiatry & Neurology
Location123 Turquoise Ave, Newport Beach, California
Authorized Official Name and PositionJason P Kellogg (OWNER)
Authorized Official Contact9499552101
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Progeny Psychiatric Group
1048 Irvine Ave # 1056
Newport Beach
CA 92660-4602

Ph: (949) 340-2111		Progeny Psychiatric Group
123 Turquoise Ave
Newport Beach
CA 92662-1036

Ph: (949) 340-2111

NPI Details:

NPI Number1235391624
Provider Enumeration Date06/27/2008
Last Update Date07/14/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9032266127
Medicare Enrollment IDO20090407000131

Medical Identifiers

Medical identifiers for Progeny Psychiatric Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235391624NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
335E00000XProsthetic/orthotic Supplier (* (Not Available))Secondary

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 Group 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 NameJason P Kellogg
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1952331530
PECOS PAC ID: 5597789123
Enrollment ID: I20060120000873
Provider NameFarhad G Nikoo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740485101
PECOS PAC ID: 9133214083
Enrollment ID: I20090223000335
Provider NameSalma Nawabi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013197946
PECOS PAC ID: 8527125483
Enrollment ID: I20090319000368
Provider NameSanjai Thankachen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1982751756
PECOS PAC ID: 9931259488
Enrollment ID: I20090604000273
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 NameRandall G Turner
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164696993
PECOS PAC ID: 8628233566
Enrollment ID: I20120627000663
Provider NameLinda H Trinh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124333828
PECOS PAC ID: 0547498834
Enrollment ID: I20140113001084
Provider NameMichael Frazier
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1225396591
PECOS PAC ID: 8224258132
Enrollment ID: I20140926002221
Provider NameLinda Marie Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104094937
PECOS PAC ID: 4486708252
Enrollment ID: I20141016002010
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 NameDiana Radakovic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891877387
PECOS PAC ID: 1658677703
Enrollment ID: I20160315002868
Provider NameSean Rougeau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558506865
PECOS PAC ID: 6406148543
Enrollment ID: I20160709000033
Provider NameMoses Morar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134586670
PECOS PAC ID: 2466735253
Enrollment ID: I20170201000858
Provider NameReginaldo Chase Espinoza
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1992172258
PECOS PAC ID: 3173895729
Enrollment ID: I20170817001294
Provider NameDylan Thomas Guiney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295242410
PECOS PAC ID: 2567714983
Enrollment ID: I20181015000173
Provider NameSean Patrick Leonard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518458165
PECOS PAC ID: 7214291731
Enrollment ID: I20190102001084
Provider NameAbishek R Rizal
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518132067
PECOS PAC ID: 8426207937
Enrollment ID: I20190320000866
Provider NameMelissa Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598252173
PECOS PAC ID: 5698027936
Enrollment ID: I20191025001426
Provider NameAndrew Park
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1982137519
PECOS PAC ID: 9739412677
Enrollment ID: I20200220002233
Provider NameJesse Goodman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609248202
PECOS PAC ID: 9133557697
Enrollment ID: I20200316001086
Provider NameNeo A Atienza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558995084
PECOS PAC ID: 7113341900
Enrollment ID: I20200727002609
Provider NameDexter Alonzo Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447830849
PECOS PAC ID: 1759790454
Enrollment ID: I20210510002515
Provider NameEdward Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053088799
PECOS PAC ID: 0941694178
Enrollment ID: I20220303001268
Provider NameClaro Mark Orilla Mabazza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326617358
PECOS PAC ID: 9436543568
Enrollment ID: I20220305000087
Provider NameScott Anderson Lane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134870728
PECOS PAC ID: 5799170643
Enrollment ID: I20220311002053
Provider NameKristeen H Candelaria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902389240
PECOS PAC ID: 2961898028
Enrollment ID: I20220330000575
Provider NameAngelo Jovito Caezar Santos Santiago
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356069900
PECOS PAC ID: 2163890914
Enrollment ID: I20221129000436
Provider NameJohn H Choe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215686167
PECOS PAC ID: 1456723550
Enrollment ID: I20230220001308
Provider NameMaria Bince Trippel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063123925
PECOS PAC ID: 0547638470
Enrollment ID: I20230606003026
Provider NameNoah Sakamoto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205418779
PECOS PAC ID: 5597122523
Enrollment ID: I20230607001695
Provider NameNathan Thien Phuc Ngo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043935380
PECOS PAC ID: 6204280852
Enrollment ID: I20230929003032
Provider NameLynda Totah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265858971
PECOS PAC ID: 4284080698
Enrollment ID: I20231020001955
Provider NameLam Duy Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558995860
PECOS PAC ID: 8921455197
Enrollment ID: I20231109000661
Provider NameTravis Zachary Johnson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255950291
PECOS PAC ID: 5092167973
Enrollment ID: I20240116003024

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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.