CHRISTINA PRENDERGAST D.O. – NPI #1164650669
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

CHRISTINA PRENDERGAST is a surgeon located in NEWPORT BEACH, CA. NPPES has assigned the NPI number 1164650669 to CHRISTINA PRENDERGAST on June 23, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHRISTINA PRENDERGAST below.

NPI Profile for
CHRISTINA PRENDERGAST

NPI Number
1164650669
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CHRISTINA PRENDERGAST
Credentials
D.O.
Primary location
1441 AVOCADO AVE STE 301
NEWPORT BEACH, CA 92660-7704
Phone: (949) 272-2095 Fax: (949) 272-2096
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
CA 20A11606

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.