Organization Active NPI

Rafael Canton M.D.

  • Psychiatry Physician
  • Ventura, CA
National Provider Identifier
1124266382
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A20496 Issued in CA
Legal business name
RAFAEL CANTON M.D.
Practice address
970 South Petit Ave
Suite a
Ventura, CA 93004
Phone
(805) 659-1333
Fax
(805) 659-1408
NPI assigned
Jan 27, 2009
Last updated
Jan 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Rafael Canton M.D., MD.
Title
Ceo
Phone
(805) 659-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A20496 CA Primary

Addresses

Primary practice location

970 South Petit Ave
Suite a
Ventura, CA 93004

Mailing address

970 South Petit Ave
Suite a
Ventura, CA 93004
Phone (805) 659-1333

National Provider Directory

National Provider Directory

Locations

400 Mobil Ave
Ste D9
Camarillo, CA 93010
Phone (805) 388-3337

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1124266382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SOUTH PETIT AVE",
            "address_2": "SUITE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93004",
            "telephone_number": "805-659-1333",
            "fax_number": "805-659-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SOUTH PETIT AVE",
            "address_2": "SUITE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93004",
            "telephone_number": "805-659-1333",
            "fax_number": "805-659-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL CANTON M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "CANTON M.D.",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-659-1333",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A20496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.