Individual provider Active NPI

Luz Elena Cano, MD

  • Neurology Physician
  • Newport Beach, CA
National Provider Identifier
1619993698
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A05444 Issued in CA
Practice address
359 San Miguel Dr
Suite 105
Newport Beach, CA 92660-7812
Phone
(949) 645-5933
Fax
(949) 645-4658
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A054444 CA
Neurology Physician 2084N0400X A05444 CA Primary

Addresses

Primary practice location

359 San Miguel Dr
Suite 105
Newport Beach, CA 92660-7812

Mailing address

PO Box 932
Corona del Mar, CA 92625-5932
Phone (949) 645-5933

Other identifiers 1

IdentifierTypeStateIssuer
00A544441MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000790 CA Practitioner - NeurologyPractitioner - Internal Medicine 6800967407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

359 San Miguel Dr
Suite 105
Newport Beach, CA 92660-7807
Phone (949) 645-5933

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A054444CAMDInternal Medicine Physician
A05444CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luz Elena Cano MD Inc Internal Medicine CurrentSince Jan 1, 2010 Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients

Locations

359 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (909) 558-2880

1201 W La Veta Ave
#311
Orange, CA 92868
Phone (714) 997-3354

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1619993698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926255932",
            "telephone_number": "949-645-5933",
            "fax_number": "949-645-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 SAN MIGUEL DR",
            "address_2": "SUITE 105",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607812",
            "telephone_number": "949-645-5933",
            "fax_number": "949-645-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "LUZ",
        "middle_name": "ELENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A054444",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A05444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A544441",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.