Gerardo Canchola, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G 55328 Issued in CA

Practice address

2621 S Bristol St Ste 302
Santa Ana, CA 92704-5719

Phone

(714) 662-7710

Fax

(714) 540-5690

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Family Practice

Education

University of California, Geffen School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Joy Health Care Services Home health agency, Stanton, CA, CCN 058188
• Parentis Home Health Home health agency, Laguna Hills, CA, CCN 059760
• Orange County Care Providers, Inc Home health agency, Cerritos, CA, CCN 058376

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: gerardo.canchola.1@30116.direct.athenahealth.com

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.

• Gerardo Canchola MD, Inc.

  • General Practice Physician
  • Santa Ana, CA
  • NPI 1487191516
  Medicare reassignment NPD Authorized official
• Gnosis Geriatric Wellcare Center Inc

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1962145029
  Medicare reassignment NPD Authorized official
• Angel Fullerton Medical Group

  • Primary Care Clinic/Center
  • Fullerton, CA
  • NPI 1689271389
  Medicare reassignment Authorized official
• My Hope Medical Group Inc

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1447076781
  Medicare reassignment NPD
• Alta Newport Hospital, LLC

  • General Acute Care Hospital
  • Tustin, CA
  • NPI 1043632938
  NPD (past)
• South Coast Global Medical Center, Inc

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1558354258
  NPD (past)

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

• Jar-CV Enterprises , Inc

  • Home Health Agency
  • Stanton, CA
  • NPI 1821091380
  Care Compare affiliation
• Orange County Care Providers,Inc.

  • Home Health Agency
  • Cerritos, CA
  • NPI 1144416876
  Care Compare affiliation
• Parentis Home Health Care, Inc.

  • Home Health Agency
  • Laguna Hills, CA
  • NPI 1740699180
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1639185879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 302",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045719",
            "telephone_number": "714-662-7710",
            "fax_number": "714-540-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 302",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045719",
            "telephone_number": "714-662-7710",
            "fax_number": "714-540-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCHOLA",
        "first_name": "GERARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G 55328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WG55328D",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Elida Campos
• Yesenia Campos
• Marie-Isabelle Canales
• Natalie Desiree Canarillo, LVN
• Destynee Justyne Canaris, COTA
• Fatima Denis Candelario Sandoval
• Karyna Magana Candelario
• Zuleika Canizales
• Shelley Santos Canlas, M.D.
• Catherine Canneto, RN

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.