Active NPI
Mike Anthony Carcano
- Addiction (Substance Use Disorder) Counselor
- Panorama City, CA
National Provider Identifier
1093697930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 25169
- Practice address
- 9140 Van Nuys Blvd Unit 202-207
Panorama City, CA 91402-6727 - Phone
- (818) 895-2206
- NPI assigned
- Jul 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 25169 | CA | Primary |
Addresses
Primary practice location
9140 Van Nuys Blvd Unit 202-207
Panorama City, CA 91402-6727
Mailing address
13775 Osborne Street
Arleta, CA 91331
Phone (818) 689-1297
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25169 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1093697930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13775 OSBORNE STREET",
"city": "ARLETA",
"state": "CA",
"postal_code": "91331",
"telephone_number": "818-689-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9140 VAN NUYS BLVD UNIT 202-207",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914026727",
"telephone_number": "818-895-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARCANO",
"first_name": "MIKE",
"middle_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-22",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "25169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.