Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christine Cancino, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1265323703

Christine Cancino, AGACNP-BC is a Nurse Practitioner in Los Angeles, California. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

1700 E Cesar E Chavez Ave Ste 3000
Los Angeles, CA 90033-2428
Phone: (310) 954-0070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95033130 (CA)

Record details

NPI number1265323703
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJuly 12, 2025
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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