Jerrold D Cantor MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G23528 Issued in CA

Legal business name

JERROLD D CANTOR MD INC

Practice address

2621 S Bristol St
Ste 305
Santa Ana, CA 92704

Phone

(714) 751-0034

Fax

(714) 751-1132

NPI assigned

Mar 16, 2006

Last updated

Oct 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerrold D Cantor, MDNPI 1063547792

Title

President

Phone

(714) 751-0034

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Jerrold Cantor MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jerrold Cantor, MD, Inc

  • Cardiovascular Disease Physician
  • Santa Ana, CA
  • NPI 1336227792
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerrold David Cantor, M.D.

  • Cardiovascular Disease Physician
  • Santa Ana, CA
  • NPI 1063547792
  Medicare reassignment NPD Authorized official
• Jerold Cantor, CFNP

  • Nurse Practitioner
  • Boise, ID
  • NPI 1811937592
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1639148026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST",
            "address_2": "STE 305",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-751-0034",
            "fax_number": "714-751-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST",
            "address_2": "STE 305",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-751-0034",
            "fax_number": "714-751-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERROLD D CANTOR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "CANTOR",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-751-0034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G23528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G235280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Ann Navarro Jequinto, D.D.S.
• Jeremy E Kaslow, MD Inc
• Jerome N. Peterson D.D.S. Inc.
• Jeromy Asido NP Psychiatric Nursing Services Inc
• Jerrold Cantor, MD, Inc
• Jerry L Kronquist Sunset Dental Group Inc
• Kevin Jerry, RN
• Jes Home & Health Care Services Provider LLC (Jes Healthcare LLC)
• Michelle Jesolva, BCBA
• Paul Jessup

• Cardiovascular Disease Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.