Linda Giordano Cannon, R.D.H.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

18403 Lakecrest CT
Castro Valley, CA 94546-1933

Phone

(510) 378-3970

NPI assigned

Mar 30, 2017

Reactivated

Jul 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifelong Medical Care

  • Family Medicine Physician
  • Rodeo, CA
  • NPI 1003289463
  NPD (past)
• Lifelong Medical Care

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1013913300
  NPD (past)

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1063944999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18403 LAKECREST CT",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945461933",
            "telephone_number": "510-378-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18403 LAKECREST CT",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945461933",
            "telephone_number": "510-378-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "LINDA",
        "middle_name": "GIORDANO",
        "name_prefix": "Ms.",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2022-08-10",
        "certification_date": "2022-07-26",
        "deactivation_date": "2022-05-31",
        "reactivation_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH11986",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Sports Physical Therapy Centers, Inc.
• Patricia Camacho Fuentes, LMFT
• Michael Caminero
• Colette R Cammisa, MFT
• Jeffrey Scott Canada, D.C.
• Lewis L Canyon, PSY.D.
• Elmer Capilo
• Capstone Orthopedic, Inc.
• Cardiovascular Consultants Medical Group, Inc.
• Alicia Cardona

• Specialist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.