Individual provider Active NPI

Leonard Cannone, D.C.

  • Chiropractor
  • San Leandro, CA
National Provider Identifier
1073623146
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24704 Issued in CA
Practice address
2185 E 14TH St
San Leandro, CA 94577-6024
Phone
(510) 352-6033
Fax
(510) 352-6034
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 24704 CA Primary

Addresses

Primary practice location

2185 E 14TH St
San Leandro, CA 94577-6024

Mailing address

2185 E 14TH St
San Leandro, CA 94577-6024
Phone (510) 352-6033

Other names 1

  • Dr. Leonardo Cannone Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
24704CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1073623146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776024",
            "telephone_number": "510-352-6033",
            "fax_number": "510-352-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776024",
            "telephone_number": "510-352-6033",
            "fax_number": "510-352-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNONE",
        "first_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEONARDO",
            "last_name": "CANNONE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.