Christian Custodio
FNP | Nurse Practitioner - Primary Care | 5+ years Exp
1196 N Park Ave, Pomona
California, 91768-3027
909-623-4050
Christian Custodio is a Pomona, California based nurse practitioner with 5 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: | 5+ 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 Number | Specialization | State | Status | |
| 95015354 | Primary Care | California | Primary | |
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.