Cancilla, Michael Anthony
Cancilla, Michael Anthony is an individual health care provider with primary practice located at 2020 J St , Sacramento CA 95811-3120. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Cancilla, Michael Anthony can be contacted via phone (916) 341-0576.Contact Information
Primary practice address
2020 J St
Sacramento CA 95811-3120
Phone: (916) 341-0576
Fax: (916) 498-9040
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | PA15366 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA15366 | California |
Profile Details
NPI number | 1952311052 |
---|---|
LBN Legal business name | Cancilla, Michael Anthony |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | Mar 21st, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952311052 | NPPES |
California | MEDICAID | PA15366 |
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