Active NPI
Anthony Cannizzaro, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
National Provider Identifier
1275974487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4044
- Practice address
- 3158 Federal Ave
Los Angeles, CA 90066-1225 - Phone
- (310) 413-2442
- NPI assigned
- Jul 16, 2013
- Last updated
- Jul 16, 2013
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4044 | CA | Primary |
Addresses
Primary practice location
3158 Federal Ave
Los Angeles, CA 90066-1225
Mailing address
3158 Federal Ave
Los Angeles, CA 90066-1225
Phone (310) 413-2442
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 |
|---|---|---|---|
| E4044 | CA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1275974487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3158 FEDERAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900661225",
"telephone_number": "310-413-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3158 FEDERAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900661225",
"telephone_number": "310-413-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNIZZARO",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.