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

Giles Cyrus Custodio Crockett-Sano, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1699373365

Giles Cyrus Custodio Crockett-Sano, AGACNP-BC is a Nurse Practitioner in Orange, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 456-8888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9353 Bolsa Ave Ste A100, Westminster, CA 92683-5951 — (800) 641-4651

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95015366 (CA)

Record details

NPI number1699373365
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 14, 2020
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

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