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

Randy Cancino, ATC

Individual provider Athletic Trainer · NPI 1821770140

Randy Cancino, ATC is an Athletic Trainer in Riverside, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

900 University Ave
Riverside, CA 92521-0001
Phone: (951) 827-1012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000054404 (CA)

Record details

NPI number1821770140
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 4, 2023
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing address111 W Harrison St Unit 334, Corona, CA 92878-3407

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