Christoffer Cansicio

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95028251 Issued in CA

Practice address

279 Toyon Rd
Ukiah, CA 95482-6842

Phone

(707) 391-1415

NPI assigned

Jan 10, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Galen Inpatient Physicians, PC

  • Hospitalist Physician
  • Manteca, CA
  • NPI 1689320459
  Medicare reassignment NPD
• Yokaya Homehealthllc

  • Home Health Agency
  • Ukiah, CA
  • NPI 1306576210
  NPD Authorized official
• Galen Inpatient Physicians PC

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1205787686
  NPD
• Galen Inpatient Physicians PC

  • Internal Medicine Physician
  • Tulare, CA
  • NPI 1255812889
  NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1932970845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 TOYON RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826842",
            "telephone_number": "707-391-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 TOYON RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826842",
            "telephone_number": "707-391-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANSICIO",
        "first_name": "CHRISTOFFER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Stephen Cabral, M.D.
• Jason A Cabral
• Joseph Scott Campbell
• Gloria Gonzalez Campise, L.M. (LICENCED MIDWI
• Tami Canovas
• Rachel Raymundo Capistrano, RN
• Valerie J Capri
• Leartis Caradine
• Tina Ann Cardenas, RN
• Wendy Cardoza

• Family Nurse Practitioner in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.