Individual provider Active NPI

Juan Carlos Canale, M.D.

  • Gastroenterology Physician
  • Turlock, CA
National Provider Identifier
1386679611
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A035467 Issued in CA
Practice address
1069 E Hawkeye Ave Ste a
Turlock, CA 95380-2618
Phone
(209) 669-6060
Fax
(209) 669-1136
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A035467 CA Primary

Addresses

Primary practice location

1069 E Hawkeye Ave Ste a
Turlock, CA 95380-2618

Mailing address

1069 E Hawkeye Ave Ste a
Turlock, CA 95380-2618
Phone (209) 669-6060

Other identifiers 1

IdentifierTypeStateIssuer
00A354671MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709001319 CA Practitioner - Gastroenterology 4486632080 Practice locations: Turlock, CA

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

130 Regis St
Suite B
Turlock, CA 95382-1129
Phone (209) 669-6060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy493
Upper gastrointestinal (GI) endoscopy for acid reflux227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A035467CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel Medical Center, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1386679611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 E HAWKEYE AVE STE A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802618",
            "telephone_number": "209-669-6060",
            "fax_number": "209-669-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 E HAWKEYE AVE STE A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802618",
            "telephone_number": "209-669-6060",
            "fax_number": "209-669-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALE",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A035467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A354671",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.