Gerardo Canchola MD, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GERARDO CANCHOLA MD, INC.

Practice address

2621 S Bristol St Ste 308
Santa Ana, CA 92704-5719

Phone

(714) 662-7710

Fax

(714) 662-4407

NPI assigned

Jan 26, 2017

Organization subpart

No

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

Authorized official

Name

Gerardo Canchola, M.D.NPI 1639185879

Title

Owner

Phone

(714) 662-7710

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Gerardo Canchola, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1639185879

  General Practice

  Medicare reassignment NPD Authorized official
• Rene Nicole Kohlieber, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1720377492

  General Practice

  Medicare reassignment NPD
• Lauro Ivan Arteaga, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Huntington Park, CA
  • NPI 1083625081
  Medicare reassignment
• Maria Virginia Caballero, PA-C

  • Physician Assistant
  • Anaheim, CA
  • NPI 1942417365
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1487191516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 308",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045719",
            "telephone_number": "714-662-7710",
            "fax_number": "714-662-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 308",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045719",
            "telephone_number": "714-662-7710",
            "fax_number": "714-662-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARDO CANCHOLA MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "CANCHOLA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-662-7710",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G55328",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew D George
• Evan Paul Georgieff, DDS
• Ger Richard Yang Acupuncture, Inc.
• Christine Ger, LCSW
• John Gera
• Janell Gerardo
• Amal A Gergis-Aquino, D.O.
• Geridocs Medical Group,Inc
• Melinda Charrion Gernertt
• Jason Gerry

• General Practice Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.