Individual provider Active NPI

May Christine Famucol Faustino, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1992525463
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95032127 Issued in CA
Practice address
15615 Alton Pkwy Ste 220
Irvine, CA 92618-7305
Phone
(949) 665-9136
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95032127 CA Primary

Addresses

Primary practice location

15615 Alton Pkwy Ste 220
Irvine, CA 92618-7305

Mailing address

23986 Aliso Creek Rd # 835
Laguna Niguel, CA 92677-3908
Phone (949) 313-4041

Other practice location 1

23986 Aliso Creek Rd # 835
Laguna Niguel, CA 92677-3908
Phone (949) 313-4041

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241230000876 CA Practitioner - Nurse Practitioner 0345777595 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cuneyt Tegin MD Inc CurrentSince Aug 3, 2025 Accepting new patients
Mental Health and Nursing PC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Coast Medical, PC Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients

Locations

421 N Brookhurst St
Ste 119
Anaheim, CA 92801
Phone (714) 253-6570

1720 W Ball Rd
Ste 4C
Anaheim, CA 92804
Phone (714) 683-1472

532 N Magnolia Ave
Anaheim, CA 92801
Phone (408) 475-4446

15615 Alton Pkwy
Ste 220
Irvine, CA 92618
Phone (949) 478-5367

1131 W 6th St
Ste 232
Ontario, CA 91762
Phone (714) 361-0898

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1992525463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23986 ALISO CREEK RD # 835",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773908",
            "telephone_number": "949-313-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 ALTON PKWY STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187305",
            "telephone_number": "949-665-9136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23986 Aliso Creek Rd # 835",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926773908",
            "country_code": "US",
            "telephone_number": "949-313-4041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUSTINO",
        "first_name": "MAY CHRISTINE",
        "middle_name": "FAMUCOL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.