Organization Active NPI

Jerrold Cantor, MD, Inc

  • Cardiovascular Disease Physician
  • Santa Ana, CA
National Provider Identifier
1336227792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G23528 Issued in CA
Legal business name
JERROLD CANTOR, MD, INC
Practice address
2621 S Bristol St Ste 305
Santa Ana, CA 92704-5719
Phone
(714) 751-0034
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerrold D Cantor, MDNPI 1063547792
Title
President
Phone
(714) 751-0034

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G23528 CA Primary

Addresses

Primary practice location

2621 S Bristol St Ste 305
Santa Ana, CA 92704-5719

Mailing address

2621 S Bristol St Ste 305
Santa Ana, CA 92704-5719
Phone (714) 751-0034

National Provider Directory

National Provider Directory
Tax ID family
Jerrold Cantor MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336227792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 305",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045719",
            "telephone_number": "714-751-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 305",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045719",
            "telephone_number": "714-751-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERROLD CANTOR, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANTOR",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-751-0034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G23528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.