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EDILBERTO A CANSECO PA
NPI 1023546025
Physician Assistant - Medical in Oceanside, CA

Active since June 02, 2017PECOS Enrolled
3220 MISSION AVE STE 1, OCEANSIDE, CA 92058(760) 736-6767 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 4, 2022, Jun 2, 2017 (2 updates tracked since 2017).

About Edilberto A Canseco Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDILBERTO A CANSECO PA (NPI 1023546025) is an individual medical provider in Oceanside, California, licensed in California (54520) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023546025
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameEDILBERTO A CANSECOCredential: PA
Location Address3220 MISSION AVE STE 1Oceanside, CA 92058-1354
Mailing Address150 Valpreda RdSan Marcos, CA 92069-2973 · (760) 736-6767
Phone(760) 736-6767
Sole ProprietorNo
Enumeration DateJune 2, 2017
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1023546025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 54520
Also ListedFamily MedicineTaxonomy 207Q00000X · License 54520 (CA)
3220 MISSION AVE STE 1, Oceanside, CA 92058
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14002 Vista WayOceanside, CA 92056-4506 · Phone (760) 940-3505
Location 22205 Vista WayOceanside, CA 92054-5661 · Phone (760) 704-5630

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edilberto A Canseco Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP W POTH M.D.
Internal Medicine
3220 MISSION AVE STE 1
OCEANSIDE, CA 92058
San Diego County (760) 736-6767
LAURIE ANN BREBRICK MSN
Nurse Practitioner
3220 MISSION AVE STE 1
OCEANSIDE, CA 92058
San Diego County (760) 433-3155
JEREMY DANIEL BLAKESPEAR P.A.-C.
Physician Assistant
3220 MISSION AVE STE 1
OCEANSIDE, CA 92058
San Diego County (760) 433-3155
JI Y CHOI NP
Nurse Practitioner (Family)
3220 MISSION AVE STE 1
OCEANSIDE, CA 92058
San Diego County (760) 736-6767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edilberto Canseco's NPI number?

The NPI number for Edilberto Canseco is 1023546025. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Edilberto Canseco located?

Edilberto Canseco practices at 3220 Mission Ave Ste 1, Oceanside, CA 92058. The listed phone number is (760) 736-6767.

What is Edilberto Canseco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Edilberto Canseco enrolled in Medicare?

Yes. Edilberto Canseco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edilberto Canseco was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.