Dr. Jacqueline Nieto Casillas
M.D., M.S.H.S | Pediatric Hematology-Oncology | Female
Dr. Jacqueline Nieto Casillas, M.D., M.S.H.S is a Los Angeles, California based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Jacqueline Nieto Casillas is
10833 Le Conte Ave, A2-410 Mdcc, Los Angeles, California - 90095-3075. She can be contacted on phone at
310-206-3952 and fax number 310-206-0209.
Dr. Jacqueline Nieto Casillas is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jacqueline Nieto Casillas is
1790707065 which was assigned by NPPES on 24 Jul, 2006 and it was last updated on 04 Apr, 2012.
Dr. Jacqueline Nieto Casillas license number is
A62861 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in California.
Dr. Jacqueline Nieto Casillas is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Jacqueline Nieto Casillas basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Dr. Jacqueline Nieto Casillas |
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| Credential : | M.D., M.S.H.S |
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| Gender : | Female |
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Business Address:
Dr. Jacqueline Nieto Casillas address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10833 Le Conte Ave, A2-410 Mdcc
Los Angeles, CA, 90095-3075
United States |
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| Phone Number : | 310-206-3952 |
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| Fax Number : | 310-206-0209 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790707065 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jul, 2006 |
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| Last Updated On : | 04 Apr, 2012 |
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Medicare Participation:
Dr. Jacqueline Nieto Casillas participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9830283993 |
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| Medicare Enrollment ID : | I20070919000995 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of California, Geffen School Of Medicine |
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| Graduation Year : | 1995 |
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| Accepts Medicare? | Yes. Dr. Jacqueline Nieto Casillas accepts medicare insurance. |
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Group Practice Association:
Dr. Jacqueline Nieto Casillas is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jacqueline Nieto Casillas is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Uc Regents | 4587568829 | 73 | 200 Medical Plz
Los Angeles, CA - 900950001 | Yes |
| Uc Regents | 4587568829 | 73 | 300 Medical Plz
Los Angeles, CA - 900950001 | Yes |
| Uc Regents | 4587568829 | 73 | 10833 Leconte Ave
Los Angeles, CA - 900953075
Ph: 3108259124 | Yes |
| Uc Regents | 4587568829 | 73 | 10833 Le Conte Ave
Los Angeles, CA - 900953075 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jacqueline Nieto Casillas are as mentioned. Primary taxonomy code for Dr. Jacqueline Nieto Casillas, M.D., M.S.H.S is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | A62861 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jacqueline Nieto Casillas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00A628610 | MEDICAID | CA | |
| GR0053510 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10833 Le Conte Ave, A2-410 Mdcc
Los Angeles, CA, 90095-3075
United States |
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| Phone Number : | 310-206-3952 |
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| Fax Number : | 310-206-0209 |
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Business Location:
Patients can refer following map for directions to
Dr. Jacqueline Nieto Casillas practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.