Active NPI
Mark Canet
- Physician Assistant
- Long Beach, CA
National Provider Identifier
1497490171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61294
- Practice address
- 1050 Linden Ave
Long Beach, CA 90813-3321 - Phone
- (562) 883-2732
- NPI assigned
- Apr 28, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61294 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1050 Linden Ave
Long Beach, CA 90813-3321
Mailing address
1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 883-2732
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.31 of 100
- Quality
- 83.88
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61294 | CA | MD | Clinical Social Worker |
| PA61294 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990
Organizations & group practices 7
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.
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Emergency Medicine Physician
- San Pedro, CA
- NPI 1518588433
-
dba Carbon Health
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
-
- Emergency Medicine Physician
- Lakewood, CA
- NPI 1073298451
-
- Emergency Medicine Physician
- Delano, CA
- NPI 1598534216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1497490171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 LINDEN AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133321",
"telephone_number": "562-883-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 LINDEN AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133321",
"telephone_number": "562-883-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANET",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-28",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA61294",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.