Individual provider Active NPI

Lance Pasabing Cacanindin, ATC

  • Athletic Trainer
  • Menifee, CA
National Provider Identifier
1760067763
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
27587 La Piedra Rd
Menifee, CA 92584-8376
Phone
(951) 672-2400
NPI assigned
Mar 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X CA Primary

Addresses

Primary practice location

27587 La Piedra Rd
Menifee, CA 92584-8376

Mailing address

41342 La Sierra Rd
Temecula, CA 92591-1818
Phone (951) 232-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Academy, Inc CurrentSince Mar 16, 2021 Accepting new patients

Locations

27587 La Piedra Rd
Menifee, CA 92584
Phone (951) 672-2400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1760067763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41342 LA SIERRA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925911818",
            "telephone_number": "951-232-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27587 LA PIEDRA RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925848376",
            "telephone_number": "951-672-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACANINDIN",
        "first_name": "LANCE",
        "middle_name": "PASABING",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.