Active NPI
Kerry Canton
- Occupational Therapist
- Oakland, CA
National Provider Identifier
1023525136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17293
- Practice address
- 350 Hawthorne Ave
Oakland, CA 94609-3108 - Phone
- (774) 219-9575
- NPI assigned
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17293 | CA | Primary |
Addresses
Primary practice location
350 Hawthorne Ave
Oakland, CA 94609-3108
Mailing address
1739 Addison St Apt 6
Berkeley, CA 94703-1578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1023525136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1739 ADDISON ST APT 6",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947031578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HAWTHORNE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093108",
"telephone_number": "774-219-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTON",
"first_name": "KERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "17293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.