Justin Cauntay, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A9470 Issued in CA

Practice address

3471 Regional Pkwy
Santa Rosa, CA 95403-8209

Phone

(707) 575-5180

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 18, 2015 through Mar 18, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Bouch Medical Corporation

  • General Practice Physician
  • Sebastopol, CA
  • NPI 1720467962
  NPD (past)
• Hill Park Integrative Medical Center

  • General Practice Physician
  • Sebastopol, CA
  • NPI 1952755415
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1346431483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 REGIONAL PKWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038209",
            "telephone_number": "707-575-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 REGIONAL PKWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038209",
            "telephone_number": "707-575-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUNTAY",
        "first_name": "JUSTIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catholic Charities of the Diocese of Santa Rosa
• Kristen P Caton
• Marcello Antonio Cattaneo
• Amber Nicole Caudle
• Daniel E. Caul, LMFT
• Stephanie Cavallo
• Tara Marie Cavell, NP-C
• Emmett T Caven, RASI
• Mirabel Hladky Cayco-Tangco, DDS
• Andrea Cazares Calderon

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.