CHRISTINE CANCINO AGACNP-BC - NPI 1265323703 - Nurse Practitioner in Los Angeles, CA

Q: What is Christine Cancino's NPI number?

The NPI number for Christine Cancino is 1265323703. It was assigned to this individual provider in the NPPES registry on July 12, 2025.

Q: What is Christine Cancino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Christine Cancino was last updated on March 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Christine Cancino Agacnp-bc NPPES

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

CHRISTINE CANCINO AGACNP-BC (NPI 1265323703) is an individual acute care provider in Los Angeles, California, licensed in California (95033130) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Simi Valley, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265323703

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameCHRISTINE CANCINOCredential: AGACNP-BC

Location Address1700 E CESAR E CHAVEZ AVE STE 3000Los Angeles, CA 90033-2428

Mailing Address1700 E Cesar E Chavez Ave Ste 3000Los Angeles, CA 90033-2428 · (310) 954-0070

Phone(310) 954-0070

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 12, 2025

Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1265323703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95033130

1700 E CESAR E CHAVEZ AVE STE 3000, Los Angeles, CA 90033

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Secondary Practice Location 1

Location 12925 Sycamore Dr Ste 304Simi Valley, CA 93065-1209 · Phone (310) 954-0070

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine Cancino Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850866534

PECOS Enrollment IDI20260409003589

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

SOUTHERN CALIFORNIA HEART AND VASCULAR CENTER

Internal Medicine (Clinical Cardiac Electrophysiology)