Individual provider Active NPI

Don Ray McCanne, M.D.

  • Family Medicine Physician
  • San Juan Capistrano, CA
National Provider Identifier
1609931401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A21273 Issued in CA
Practice address
33781 Avenida Calita
San Juan Capistrano, CA 92675-4905
Phone
(949) 493-3714
Fax
(949) 493-7985
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A21273 CA Primary

Addresses

Primary practice location

33781 Avenida Calita
San Juan Capistrano, CA 92675-4905

Mailing address

33781 Avenida Calita
San Juan Capistrano, CA 92675-4905
Phone (949) 493-3714

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A21273CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609931401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33781 AVENIDA CALITA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754905",
            "telephone_number": "949-493-3714",
            "fax_number": "949-493-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33781 AVENIDA CALITA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754905",
            "telephone_number": "949-493-3714",
            "fax_number": "949-493-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANNE",
        "first_name": "DON",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A21273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.