Krysten Provencio, PA-C
Physician Assistant · Laguna Hills, CA
Krysten Provencio, PA-C is a physician assistant with a practice address in Laguna Hills, California, and NPI 1770350761, issued on Dec 8, 2023. Check the license (California 65129, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Krysten Provencio
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 65129 CA
Self-reported in NPPES; status is on the state search - Practice location
- 24012 Calle DE LA Plata Ste 330, Laguna Hills, CA 92653
- Phone
- (949) 829-5533
- Enumerated
- Dec 8, 2023
- Record last updated
- Jun 28, 2026
- Fax
- (949) 581-9158
- Medicare enrollment
- Enrolled (PECOS I20241016001930); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Also registered at 24012 Calle DE LA Plata Ste 330
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Carolyn Patchett, N.P.Women's Health Nurse Practitioner1326259334
Verify Krysten Provencio in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 65129Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $21.70
1 payment: food and beverage; the largest payer was CooperSurgical, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Valley Perinatal Services LLCChandler, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Krysten Provencio among 14,451 physician assistant records in California
Krysten Provencio, PA-C is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 80% of them.
- NPI issued2023 · 80% of these records are older, 13% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2024 · median 2018 among the 7,214 with a school on file
- Record last updated2026 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
53 physician assistant records list a practice address in Laguna Hills
They are 53 of the 2,069 NPPES records with a practice address in Laguna Hills, and 14,451 physician assistant records in California.
All 14,451 in California → Every provider in Laguna Hills → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Sarah Baca, PA-CLaguna Hills, CA 926531487895678
- Richard Fan, PALaguna Hills, CA 926531801963673
- Nicole Hahn, PALaguna Hills, CA 926531497953053
- Meredith Harsh, PALaguna Hills, CA 926531003178534
- Albert Huerta, PA-CLaguna Hills, CA 926531487835682
- Tara Krishnasastry, P.A.Laguna Hills, CA 926531639313745
- Victoria Mills, M.M.S., PA-CLaguna Hills, CA 926531932311610
- Brooke Otto, PA-CLaguna Hills, CA 926531881997575
Common questions
What is Krysten Provencio, PA-C's NPI number?
Krysten Provencio, PA-C's National Provider Identifier (NPI) is 1770350761, issued on Dec 8, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Krysten Provencio, PA-C located?
The NPPES record lists a practice address at 24012 Calle DE LA Plata Ste 330, Laguna Hills, CA, 92653. Phone: (949) 829-5533. Providers update this record themselves, so call before visiting.
How can I verify Krysten Provencio, PA-C's license?
NPPES lists California license number 65129, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.