DR. JACQUELINE NIETO CASILLAS M.D., M.S.H.S
NPI 1790707065
Pediatrics - Pediatric Hematology-Oncology in Los Angeles, CA
About Dr. Jacqueline Nieto Casillas M.d., M.s.h.s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE NIETO CASILLAS M.D., M.S.H.S (NPI 1790707065) is an individual pediatric hematology-oncology provider in Los Angeles, California, licensed in California (A62861) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jacqueline Nieto Casillas M.d., M.s.h.s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Casillas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 323 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Jacqueline Casillas's NPI number?
The NPI number for Jacqueline Casillas is 1790707065. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is Jacqueline Casillas located?
Jacqueline Casillas practices at 10833 Le Conte Ave A2-410 Mdcc, Los Angeles, CA 90095. The listed phone number is (310) 206-3952.
What is Jacqueline Casillas's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.
Is Jacqueline Casillas enrolled in Medicare?
Yes. Jacqueline Casillas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jacqueline Casillas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Casillas reassigns Medicare benefits to Uc Regents (Los Angeles, 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 Jacqueline Casillas'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 Jacqueline Casillas was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Jacqueline Nieto Casillas, M.D., M.S.H.S · NPI 1790707065
Pediatric Hematology-Oncology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1790707065 (Entity type: Individual)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Pediatrics - Pediatric Hematology-Oncology · taxonomy 2080P0207X
- **State license:** A62861 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10833 LE CONTE AVE, A2-410 MDCC, Los Angeles, CA 90095-3075
- **Phone:** (310) 206-3952 · **Fax:** (310) 206-0209
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Uc Regents (NPI 1982667663, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** April 4, 2012
- **Other identifiers:** Medicaid 00A628610 (CA); Medicare ID-Type Unspecified WA62861A (CA); Medicare ID-Type Unspecified W11810 (CA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1790707065) · Data from the CMS NPPES public registry.