Johnny C. Canciller, P.A.-C
NPI 1508038043ActiveIndividual· Physician Assistant· Bellflower, CA
Physician Assistant (P.A.-C) with Southern California Permanente Medical Group, practicing in Bellflower, California. Their prescriptions cost Medicare Part D more than their services did: $39,063 for 921 claims, against $703.65 paid for services in 2024.
Overview
| NPI | 1508038043 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A.-C |
| Sole proprietor | No |
| NPI issued | Mar 25, 2008 |
| Last updated in NPPES | Nov 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 17751 | CA |
| Physician Assistant | 363A00000X | PA 17751 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 20 across 5 procedure codes |
| Paid by Medicare | $703.65 |
Part D prescriptions in 2024
| Prescriptions (claims) | 921 · 1,280 30-day fills |
|---|---|
| Patients | 584 |
| Total drug cost | $39,063 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 physician assistants in Bellflower · All physician assistants in California