Active NPI
Cameron Royce Candies, PT, DPT
- Physical Therapist
- Tarzana, CA
National Provider Identifier
1225673775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297387
- Practice address
- 19510 Ventura Blvd Ste 106
Tarzana, CA 91356-2974 - Phone
- (818) 996-1725
- NPI assigned
- Nov 7, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297387 | CA | Primary |
Addresses
Primary practice location
19510 Ventura Blvd Ste 106
Tarzana, CA 91356-2974
Mailing address
1609 Ridgeview Loop SW
Tumwater, WA 98512-1443
Phone (208) 477-3008
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1225673775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 RIDGEVIEW LOOP SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985121443",
"telephone_number": "208-477-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19510 VENTURA BLVD STE 106",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562974",
"telephone_number": "818-996-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANDIES",
"first_name": "CAMERON",
"middle_name": "ROYCE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.