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DR. JACQUELINE NIETO CASILLAS M.D., M.S.H.S
NPI 1790707065
Pediatrics - Pediatric Hematology-Oncology in Los Angeles, CA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
80.5/100
CMS Quality Rating
10833 LE CONTE AVE, A2-410 MDCC, LOS ANGELES, CA 90095(310) 206-3952(310) 206-0209 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1790707065
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. JACQUELINE NIETO CASILLASCredential: M.D., M.S.H.S
Location Address10833 LE CONTE AVE, A2-410 MDCCLos Angeles, CA 90095-3075
Mailing Address10833 Le Conte Ave, A2-410 MdccLos Angeles, CA 90095-3075 · (310) 206-3952 · Fax (310) 206-0209
Phone(310) 206-3952
Fax(310) 206-0209
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1995
Enumeration DateJuly 24, 2006
Last NPPES UpdateApril 4, 2012
✔ NPI 1790707065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in CA · A62861
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
10833 LE CONTE AVE, Los Angeles, CA 90095
Open in Google Maps ↗

Other Identifiers 5

Medicaid00A628610CA
Medicare ID-Type UnspecifiedWA62861ACA
Medicare ID-Type UnspecifiedW11810CA · Group Medicare
Medicare UPINH34422CA
MedicaidGR0053510CA

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9830283993
PECOS Enrollment IDI20070919000995
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 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.

80.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.83
Promoting Interoperability100
Improvement Activities40
Cost20.85

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. JENNIFER A FULCHER M.D., PH.D.
Internal Medicine (Infectious Disease)
10833 LE CONTE AVE, CHS 37-121
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7225
LEE HAROLD HILBORNE MD
Pathology (Anatomic Pathology & Clinical Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Los Angeles County (310) 794-8285
PETER TONTONOZ MD
Pathology (Anatomic Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Los Angeles County (310) 794-8285
HSIN Y LEE MD
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-4721
COLIN J. WELLS MD
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 301-6800
RODNEY L TEICHNER MD
Anesthesiology
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9111
DR. LLOYD EDWARD GREASER III M.D.
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE, DEPARTMENT OF RADIOLOGY
LOS ANGELES, CA 90095
Los Angeles County (310) 825-4321
BRANDON KEN ITAGAKI M.D.
Internal Medicine
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8307

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.

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.