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

Individual provider Marriage & Family Therapist · NPI 1164762241

Miss. Emmylou Chua Cancino, IMF is a Marriage and Family Therapist in Sacramento, California. Qualified in 2011, 15 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2013
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Practice location Address checks out

3815 Marconi Ave
Sacramento, CA 95821-3867
Phone: (707) 639-7498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 72930 (CA)

Record details

NPI number1164762241
Entity typeIndividual (Type 1)
GenderFemale
Credentials IMF
Sole proprietorNo
NPI enumeratedFebruary 26, 2013
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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