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GILES CYRUS CUSTODIO CROCKETT-SANO AGACNP-BC
NPI 1699373365
Nurse Practitioner in Orange, CA

Active since October 14, 2020PECOS Enrolled
101 THE CITY DR S, ORANGE, CA 92868(714) 456-8888 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2026, Oct 14, 2020 (2 updates tracked since 2020).

About Giles Cyrus Custodio Crockett-sano Agacnp-bc NPPES

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

GILES CYRUS CUSTODIO CROCKETT-SANO AGACNP-BC (NPI 1699373365) is an individual nurse practitioner in Orange, California, licensed in California (95015366) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Westminster.

NPPES Registry Identity

NPI1699373365
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameGILES CYRUS CUSTODIO CROCKETT-SANOCredential: AGACNP-BC
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing Address101 The City Dr SOrange, CA 92868-3201 · (714) 456-8888
Phone(714) 456-8888
Sole ProprietorNo
Enumeration DateOctober 14, 2020
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1699373365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95015366
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
101 THE CITY DR S, Orange, CA 92868
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Secondary Practice Location 1

Location 19353 Bolsa Ave Ste A100Westminster, CA 92683-5951 · Phone (800) 641-4651 · Fax (714) 369-2769

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Giles Cyrus Custodio Crockett-sano Agacnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Giles Cyrus Crockett-sano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of Claifornia Univ Neursciences
0.3 mi
Neurology
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 135 clinicians in this Medicare group
NPI 1205884210 (714) 456-8068

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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 20

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

DR. ANKIT BHUPENDRA PATEL D.O.
Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-5113
DR. LAURA CATHERINE SKOCZYLAS MD
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Orange County (714) 456-8224
MICHAEL CHENG DO
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7110
AESTHETIC AND PLASTIC SURGERY INSTITUTE
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-2986
JOSEPH VILLARREAL M.D.
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Orange County (714) 456-5239
DEMI TRAN
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Orange County (171) 456-6693
DR. ISABEL CARLTON CLARK M.D.
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7890
DYLAN LUKATO
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868
Orange County (415) 218-8041

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 Giles Cyrus Crockett-sano's NPI number?

The NPI number for Giles Cyrus Crockett-sano is 1699373365. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Giles Cyrus Crockett-sano located?

Giles Cyrus Crockett-sano practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-8888.

What is Giles Cyrus Crockett-sano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Giles Cyrus Crockett-sano enrolled in Medicare?

Yes. Giles Cyrus Crockett-sano is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Giles Cyrus Crockett-sano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Giles Cyrus Crockett-sano reassigns Medicare benefits to Regents Of The University Of Claifornia Univ Neursciences (Orange, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Giles Cyrus Crockett-sano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Giles Cyrus Crockett-sano was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.