Christian Custodio

FNP | Nurse Practitioner - Primary Care | 4+ years Exp

Accepts Medicare Primary Care Nurse Practitioner in Pomona, California.
Christian Custodio is a Pomona, California based nurse practitioner with 4 years of experience in Primary Care. He completed his graduation in 2020. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Christian Custodio is 95015354 for Primary Care in California. His current practice location is 1196 N Park Ave, Pomona. Patients can reach him at 909-623-4050. Christian Custodio is FNP with specialization in Primary Care and his NPI number (Unique professional ID assigned by NPPES) is 1811502404.
Christian Custodio is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.

Complete Profile:
Christian Custodio speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Christian Custodio
Specialization: Primary Care Nurse Practitioner (PCNP)
Gender:Male
Credentials: FNP
Experience: 4+ years
Medical School Attended:Other
Graduation Year:2020
Accepts Medicare Assignment:Yes
Practice Address:1196 N Park Ave, Pomona,
California, 91768-3027
Phone:909-623-4050
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 0648683789
Enrollment ID: I20210108000940
NPI Number: 1811502404
NPI Enumeration Date: 10 Sep, 2020
NPI Last Update On: 10 Sep, 2020

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Christian Custodio are as mentioned below.
License NumberSpecializationStateStatus
95015354Primary Care CaliforniaPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Christian Custodio is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Mallu Reddy Md Inc (8022193994)3
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Christian Custodio
1196 N Park Ave,
Pomona, California
Zip: 91768-3027
Phone Number: 909-623-4050
Patients can reach Christian Custodio at 1196 N Park Ave, Pomona, California or can call to book an appointment on 909-623-4050.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.