Krystle Marie Mantolino Mungcal, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95012947 Issued in CA

Practice address

21700 Golden Triangle Rd Ste 102
Santa Clarita, CA 91350-2926

Phone

(661) 287-3983

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renato V. Mungcal, M.D., Inc.

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1720550056
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1518593359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 GOLDEN TRIANGLE RD STE 102",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502926",
            "telephone_number": "661-287-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 GOLDEN TRIANGLE RD STE 102",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502926",
            "telephone_number": "661-287-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGCAL",
        "first_name": "KRYSTLE MARIE",
        "middle_name": "MANTOLINO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2022-07-19",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motion Pros Physical Therapy
• Motion Pros Physical Therapy and Pilates Inc.
• Jhovana Moya
• Maria Moyer, LVN
• Heather Mullen, MD, MSJ
• Alyshia Munoz
• Jamie Munoz, LMFT 106745
• Sara Andrea Munoz, PSY.D.
• Sona Muradyan
• David Murillo

• Family Nurse Practitioner in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.