Robert James Cannon, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A39500 Issued in CA

Practice address

3865 Jackson St
Riverside, CA 92503-3919

Phone

(951) 352-5666

Fax

(951) 352-5445

NPI assigned

Jun 30, 2006

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

Other identifiers 1

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

Specialty

Emergency Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seven Star Hospital Associates IncGroup PAC ID 4789083338, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517
• Coastal Communities Hospital Hospital, Santa Ana, CA, CCN 050747
• Chapman Global Medical Center Hospital, Orange, CA, CCN 050745

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Seven Star Hospital Associates Inc.

  • Diagnostic Radiology Physician
  • Hemet, CA
  • NPI 1043813140

  CA

  Medicare reassignment Care Compare group NPD
• Apex Emergency Medical Group, Inc.

  • Emergency Medicine Physician
  • Hemet, CA
  • NPI 1265711089

  CA, Emergency Medicine

  Medicare reassignment NPD
• Riverside Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Riverside, CA
  • NPI 1972539039

  CA, Emergency Medicine

  Medicare reassignment NPD
• San Dimas Emergency Medical Associates Inc.

  • Emergency Medicine Physician
  • San Dimas, CA
  • NPI 1720239460

  CA, Emergency Medicine

  Medicare reassignment NPD
• Seven Star Hospital Associates Inc.

  • Emergency Medicine Physician
  • Hemet, CA
  • NPI 1144823246

  Emergency Medicine

  NPD
• Emergency Physicians Medical Associates of Long Beach

  • Emergency Medicine Physician
  • Long Beach, CA
  • NPI 1386675015

  Emergency Medicine

  NPD (past)
• Hemet Emergency Med Group @ Menifee Hospital

  • Emergency Medicine Physician
  • Sun City, CA
  • NPI 1265620090

  Emergency Medicine

  NPD (past)
• Hemet Emergency Medical Group

  • Emergency Medicine Physician
  • Hemet, CA
  • NPI 1871538579

  Emergency Medicine

  NPD (past)

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

• Chapman Global Medical Center, Inc

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1427041110

  Hospital

  Care Compare affiliation
• South Coast Global Medical Center, Inc

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1558354258

  Hospital

  Care Compare affiliation
• Victor Valley Hospital Acquisition, Inc.

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1679879589

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1528097045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STONEGATE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022451",
            "telephone_number": "949-734-3363",
            "fax_number": "949-294-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 JACKSON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033919",
            "telephone_number": "951-352-5666",
            "fax_number": "951-352-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A39500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A395000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon R Canga, P.T.
• Brian Patrick Cannady, CADC II
• Ruslana Maria Cannell, MD
• Jamar Q Cannon
• Marcus Alden Cannon, LMFT
• Imelda Jaqueline Cano Beltran, NONE
• David Cano Ventura
• Maria Jose Cano Villa
• Elizabeth Anne Cano, FNP
• Leonard L Cano, DPM

• All providers in Riverside, CA
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.

Verify at the official NPI Registry.