Individual provider Active NPI

Christine Cancino, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1265323703
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95033130 Issued in CA
Practice address
1700 E Cesar E Chavez Ave Ste 3000
Los Angeles, CA 90033-2428
Phone
(310) 954-0070
NPI assigned
Jul 12, 2025
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95033130 CA Primary

Addresses

Primary practice location

1700 E Cesar E Chavez Ave Ste 3000
Los Angeles, CA 90033-2428

Mailing address

1700 E Cesar E Chavez Ave Ste 3000
Los Angeles, CA 90033-2428
Phone (310) 954-0070

Other practice location 1

2925 Sycamore Dr Ste 304
Simi Valley, CA 93065-1209
Phone (310) 954-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260409003589 CA Practitioner - Nurse Practitioner 1850866534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1700 E Cesar E Chavez Ave
Suite 3000
Los Angeles, CA 90033-2428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95033130CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Heart and Vascular Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJCCCD/Endpoint/GJCCCD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1265323703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332428",
            "telephone_number": "310-954-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332428",
            "telephone_number": "310-954-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Sycamore Dr Ste 304",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930651209",
            "country_code": "US",
            "telephone_number": "310-954-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANCINO",
        "first_name": "CHRISTINE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-12",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95033130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.