Active NPI
Humberto Cantu Jr.
- Professional Counselor
- San Luis Obispo, CA
National Provider Identifier
1144606849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16086
- Practice address
- 2180 Johnson Ave
San Luis Obispo, CA 93401-4558 - Phone
- (805) 781-4275
- Fax
- (805) 781-1227
- NPI assigned
- Aug 4, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16086 | CA | Primary |
Addresses
Primary practice location
2180 Johnson Ave
San Luis Obispo, CA 93401-4558
Mailing address
117 W. Tunnel Street
Santa Maria, CA 93458
Phone (805) 614-4940
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 |
|---|---|---|---|
| 16086 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1144606849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W. TUNNEL STREET",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93458",
"telephone_number": "805-614-4940",
"fax_number": "805-614-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 JOHNSON AVE",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014558",
"telephone_number": "805-781-4275",
"fax_number": "805-781-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTU",
"first_name": "HUMBERTO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-04",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "16086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.