John Patrick Canlas, RDN – Registered Dietitian

Key facts

NPI: 1639760762
Entity type: Individual (NPI type 1)
Primary specialty: Registered Dietitian 133V00000X
License: 1065170 (CA)
Practice address: 23 Steele CT
Bay Point, CA 94565-1564
Phone: (909) 362-9434
NPI assigned: Feb 1, 2021
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

John Canlas Nutrition LLC Registered Dietitian · Concord, CA · NPI 1356012678

Medicare reassignment NPD CA · DIETITIAN, REGISTERED

Medicare Care Compare profile

Specialty: Registered Dietitian Or Nutrition Professional
Education: Other, 2011
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services

Practice addresses (Care Compare)

2075 Diamond Blvd
Suite H 210
Concord, CA 94520-5827
Phone (909) 655-1719

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20211220000849	CA	Practitioner - Registered Dietitian Or Nutrition Professional	9638560055	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1065170	CA	MD	Registered Dietitian

Practice roles

Organization	Specialty	Status	New patients
John Canlas Nutrition LLC	Dietitian, Registered	Current since Oct 1, 2021	Accepting new patients

Locations

2075 Diamond Blvd
Ste H210
Concord, CA 94520
Phone (909) 362-9434

1647 Willow Pass Rd
Concord, CA 94520
Phone (510) 485-2048

1800 Sutter St
Ste 500
Concord, CA 94520
Phone (707) 469-3402

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Dietitian Group: 193400000X SINGLE SPECIALTY GROUP	133V00000X	1065170	CA	Yes

Addresses

Primary practice location

23 Steele CT
Bay Point, CA 94565-1564

Mailing address

1647 Willow Pass Rd # 337
Concord, CA 94520-2611
Phone (909) 362-9434

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	www.practicebetter.com

Other providers in Bay Point, CA

William John Britt, PA-C
Isis I. Bryant
Sally Dotto Bunde
Maria Cristina Jamilla Cabral-Singh, LVN
Emilyn Candari, RN
Carely.Pro LLC
Samantha Casillas
Manshika Chand
Jeni Radhika Chandra
Isabel Cheng, PHARMD

All providers in Bay Point, CA · Registered Dietitian in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.