Active NPI
Rendel Cano, US NAVY IDC
- Other Technician
- San Diego, CA
National Provider Identifier
1528434099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- US NAVY IDC
- Practice address
- 34101 Farenholt Ave
Building 14
San Diego, CA 92134-5291 - Phone
- (619) 532-7968
- NPI assigned
- Aug 19, 2015
- Last updated
- Aug 19, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | US NAVY IDC | CA | Primary |
| Intermediate Emergency Medical Technician | 146M00000X | US NAVY IDC | CA |
Addresses
Primary practice location
34101 Farenholt Ave
Building 14
San Diego, CA 92134-5291
Mailing address
8746 Ildica St
Unit 7
Spring Valley, CA 91977
Phone (305) 432-1348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| US NAVY IDC | CA | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United States Navy | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Military Hospital
- San Diego, CA
- NPI 1003226309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1528434099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8746 ILDICA ST",
"address_2": "UNIT 7",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "91977",
"telephone_number": "305-432-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34101 FARENHOLT AVE",
"address_2": "BUILDING 14",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921345291",
"telephone_number": "619-532-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANO",
"first_name": "RENDEL",
"credential": "US NAVY IDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "US NAVY IDC",
"primary": true
},
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "CA",
"license": "US NAVY IDC",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.