Carlos R Canizales, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A21283 Issued in CA

Practice address

685 N 13TH Ave
#9
Upland, CA 91786

Phone

(909) 981-5923

Fax

(909) 920-3054

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sach Physician Billing Trust

  • Cardiovascular Disease Physician
  • Upland, CA
  • NPI 1720194129
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285690909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 2ND AVE",
            "address_2": "#203",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866064",
            "telephone_number": "909-981-5923",
            "fax_number": "909-920-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 N 13TH AVE",
            "address_2": "#9",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-981-5923",
            "fax_number": "909-920-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANIZALES",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A21283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A212830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Arlene Campbell
• Trisha Campbell
• Corrina Debra Campos, NUTRITIONIST
• Victor Manuel Campos, FNP
• Frank Paul Canavan, PA-C
• Michelle Faith Cantrell
• Maria Magdalena Cantu-Romo, TH.M., M.S., LMFT
• Canyon Oaks Hospice & Palliative Care, Inc.
• Rafael Capacete
• Alexandria Capetillo

• Cardiovascular Disease Physician in Upland, CA
• Providers in Upland, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.