Alexander Cantillo

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

26081 Mocine Ave
Hayward, CA 94544-2923

Phone

(510) 881-5921

Fax

(510) 881-5925

NPI assigned

Aug 31, 2016

Reactivated

Aug 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Angels Creative Childrens Therapy LLC

  • Behavior Analyst
  • Orlando, FL
  • NPI 1528496056
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1295281129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26081 MOCINE AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442923",
            "telephone_number": "510-881-5921",
            "fax_number": "510-881-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26081 MOCINE AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442923",
            "telephone_number": "510-881-5921",
            "fax_number": "510-881-5925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4417 E COLONIAL DR",
            "address_purpose": "LOCATION",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035219",
            "country_code": "US",
            "telephone_number": "407-757-0785",
            "fax_number": "407-757-0786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTILLO",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2019-08-28",
        "deactivation_date": "2019-08-06",
        "reactivation_date": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VI Canio, OTR/L
• Joseph Cannon
• Alexa Cano
• Daisy Cano
• Alexis Cantero Gonzalez
• Lianne Capistrano, PHARMD
• Capitol Medexpress, LLC
• Edinson Capote, RDA
• Capstone NGMC LLC
• Andrea Caracol

• Student in an Organized Health Care Education/Training Program in Hayward, CA
• Providers in Hayward, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.