Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacqueline Nieto Casillas, MD, MSHS

Individual provider Pediatric Hematology & Oncology Physician · NPI 1790707065

Dr. Jacqueline Nieto Casillas, MD, MSHS is a Pediatric Medicine in Los Angeles, California. Graduated from University of California, Geffen School of Medicine in 1995, 31 years ago. Practices with Uc Regents, a 101-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10833 Le Conte Ave A2-410 Mdcc
Los Angeles, CA 90095-3075
Phone: (310) 206-3952
Fax: (310) 206-0209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence A62861 (CA)

Record details

NPI number1790707065
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MSHS
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESApril 4, 2012

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Uc Regents — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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