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CAROL L CANCILLA
NPI 1396492823
Registered Nurse in San Pablo, CA

Active since March 04, 2022
13585 SAN PABLO AVE, SAN PABLO, CA 94806(510) 942-4712 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol L Cancilla NPPES

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

CAROL L CANCILLA (NPI 1396492823) is an individual registered nurse in San Pablo, California, licensed in California (95203844) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1396492823
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameCAROL L CANCILLA
Location Address13585 SAN PABLO AVESan Pablo, CA 94806
Mailing Address1340 Arnold DrMartinez, CA 94553-4189 · (925) 957-5102
Phone(510) 942-4712
Sole ProprietorNo
Enumeration DateMarch 4, 2022
NPPES CertifiedFebruary 18, 2022
✔ NPI 1396492823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CA · 95203844
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
13585 SAN PABLO AVE, San Pablo, CA 94806
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Other Providers at the Same Location NPPES 20

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

MS. ERIN CAITLIN KILPATRICK LMFT
Marriage & Family Therapist
13585 SAN PABLO AVE, FIRST FLOOR
SAN PABLO, CA 94806
Contra Costa County (510) 942-4610
SHANA JOHNSON ACSW
Social Worker
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (818) 521-8614
AMELIA QURAISY ARIFIN
Marriage & Family Therapist
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (510) 942-4600
TAMICHA CHARMAINE BELL
Day Training/Habilitation Specialist
13585 SAN PABLO AVE
RICHMOND, CA 94806
Contra Costa County (510) 942-4700
DAMARIS KITHEKA
Nurse Practitioner (Psychiatric/Mental Health)
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (510) 942-4711
JALEESA JEFFERY
Social Worker (Clinical)
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (510) 854-0720
ROSA JENNIFER COLIN
Social Worker (Clinical)
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (925) 839-3136
MS. VAN BICH LY
Student in an Organized Health Care Education/Training Program
13585 SAN PABLO AVE
SAN PABLO, CA 94806
Contra Costa County (510) 942-4600

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 Carol Cancilla's NPI number?

The NPI number for Carol Cancilla is 1396492823. It was assigned to this individual provider in the NPPES registry on March 4, 2022.

Where is Carol Cancilla located?

Carol Cancilla practices at 13585 San Pablo Ave, San Pablo, CA 94806. The listed phone number is (510) 942-4712.

What is Carol Cancilla's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Carol Cancilla was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.