Canon Medical Group Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

W7122 Issued in CA

Legal business name

CANON MEDICAL GROUP INC

Practice address

414 N Camden Dr
Suite 775
Beverly Hills, CA 90210-4532

Phone

(310) 274-7300

Fax

(310) 274-7301

NPI assigned

Jan 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bernard Salick, M.D.,

Title

Physician

Phone

(310) 274-3400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack E Rubin, M.D.

  • Nephrology Physician
  • Inglewood, CA
  • NPI 1346236205
  NPD (past)
• Elizabeth Salick, PSY.D.

  • Psychologist
  • Beverly Hills, CA
  • NPI 1346348158
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1023097631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD",
            "address_2": "STE 512",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121905",
            "telephone_number": "310-967-3300",
            "fax_number": "310-967-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR",
            "address_2": "SUITE 775",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104532",
            "telephone_number": "310-274-7300",
            "fax_number": "310-274-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANON MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "SALICK",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-274-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "W7122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Patricia Canas
• Cancer Institute of America Medical Corporation
• Sophie Mestman Cannon, MD
• William Joseph Cannon, D.D.S.
• Cannonorthodontics
• Canon Surgery Center
• Cantor Chiropractic
• Liza M Capiendo, M.D.
• Capitol Health Center
• James L Caplan, M.D.

• Nephrology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.