Individual provider Active NPI

Christina Quijano Pangan, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1609614650
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
879969 Issued in NV
Practice address
8899 La Manga Ave
Las Vegas, NV 89147-6022
Phone
(808) 393-9283
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 879969 NV Primary

Addresses

Primary practice location

8899 La Manga Ave
Las Vegas, NV 89147-6022

Mailing address

8899 La Manga Ave
Las Vegas, NV 89147-6022
Phone (808) 393-9283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA, HI, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240910003515 NV Practitioner - Nurse Practitioner 9537609144 Reassigns benefits to 1 organization
I20241003001187 CA Practitioner - Nurse Practitioner 9537609144 Reassigns benefits to 3 organizations
I20250627003695 HI Practitioner - Nurse Practitioner 9537609144 Reassigns benefits to 1 organization
I20251206000318 AZ Practitioner - Nurse Practitioner 9537609144

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Las Vegas, NV 89147
Phone (702) 526-6763

Kapolei, HI 96707
Phone (725) 279-7950

Hospital & facility affiliations

  • Radmed Home Health Care, LLC Home health agency, Las Vegas, NV, CCN 297267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
879969NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lev Grinman MD 6 Professional Corporation Family CurrentSince May 1, 2025 Accepting new patients
Tiamson Inc Family CurrentSince Sep 19, 2024 Accepting new patients
Wickenburg Diabetes & Wound Care Center LLC Family Medicine CurrentSince Nov 20, 2025 Accepting new patients
Quijano Pangan PLLC Family Medicine CurrentSince Jan 7, 2025 Accepting new patients
Advance Wound Care Hawaii LLC Family CurrentSince May 1, 2025 Accepting new patients
Advanced Practice Wound Care and Psyche Specialist Family CurrentSince Jan 1, 2025 Accepting new patients
Advanced Health Preference Group Inc a Professional Nursing Corp PastSince Aug 1, 2024 Accepting new patients

Locations

519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408

523 Rose Ln
Wickenburg, AZ 85390
Phone (928) 668-1833

595 E Colorado Blvd
Ste 611
Pasadena, CA 91101
Phone (626) 347-8548

10570 Foothill Blvd
Ste 220
Rancho Cucamonga, CA 91730
Phone (909) 808-4888

10970 Arrow Rte
Ste 214
Rancho Cucamonga, CA 91730
Phone (626) 347-8548

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1609614650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 LA MANGA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476022",
            "telephone_number": "808-393-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8899 LA MANGA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476022",
            "telephone_number": "808-393-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGAN",
        "first_name": "CHRISTINA",
        "middle_name": "QUIJANO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "879969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.