Organization Active NPI

Midwest Post-Acute Care of California PC

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1326490871
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MIDWEST POST-ACUTE CARE OF CALIFORNIA PC
Practice address
3000 N Halsted St Ste 803
Chicago, IL 60657-6185
Phone
(888) 705-8722
Fax
(888) 705-8722
NPI assigned
Jul 8, 2016
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Dr. Sean Cannone, DONPI 1467563874
Title
Owner
Phone
(888) 660-4425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

3000 N Halsted St Ste 803
Chicago, IL 60657-6185

Mailing address

PO Box 80695
City of Industry, CA 91716-8415
Phone (888) 705-8722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161228001832 CA Part B Supplier - Clinic/Group Practice 4183905490 Receives reassigned benefits from 34 practitioners
Practice locations: Santa Maria, CA; Santa Ana, CA; Salinas, CA; Sacramento, CA; Riverside, CA; Rancho Mirage, CA; Pico Rivera, CA; Petaluma, CA…

National Provider Directory

National Provider Directory

Locations

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

523 Hayes Ln
Petaluma, CA 94952
Phone (707) 763-2457

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

237 A St
#28354
San Diego, CA 92101

1335 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (562) 867-0811

5335 Wisconsin Ave NW
Ste 440
Washington, DC 20015
Phone (202) 364-0202

200 N La Salle St
Ste 1550
Chicago, IL 60601
Phone (773) 505-7027

230 W Monroe St
Chicago, IL 60606
Phone (224) 775-5195

332 S Michigan Ave
Ste 1100
Chicago, IL 60604
Phone (618) 444-7231

Practitioners & affiliated clinicians

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1326490871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80695",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917168415",
            "telephone_number": "888-705-8722",
            "fax_number": "888-705-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 803",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576185",
            "telephone_number": "888-705-8722",
            "fax_number": "888-705-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST POST-ACUTE CARE OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "CANNONE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-660-4425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.