Individual provider Active NPI

Michele McCann Cannis, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Westlake Village, CA
National Provider Identifier
1326160383
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
G38032 Issued in CA
Practice address
32107 Lindero Canyon Rd
Suite 114
Westlake Village, CA 91361-4222
Phone
(818) 991-6482
Fax
(818) 991-4635
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X G38032 CA Primary

Addresses

Primary practice location

32107 Lindero Canyon Rd
Suite 114
Westlake Village, CA 91361-4222

Mailing address

32107 Lindero Canyon Rd
Suite 114
Westlake Village, CA 91361-4222
Phone (818) 991-6482

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G38032CAMDDevelopmental - Behavioral Pediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326160383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32107 LINDERO CANYON RD",
            "address_2": "SUITE 114",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614222",
            "telephone_number": "818-991-6482",
            "fax_number": "818-991-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32107 LINDERO CANYON RD",
            "address_2": "SUITE 114",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614222",
            "telephone_number": "818-991-6482",
            "fax_number": "818-991-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNIS",
        "first_name": "MICHELE",
        "middle_name": "MCCANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "G38032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.