Active NPI
Thomas E Kaniff, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Sacramento, CA
National Provider Identifier
1669700712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- G65802
- Practice address
- 631 Fulton Ave
Sacramento, CA 95825-4813 - Phone
- (916) 480-9080
- Fax
- (916) 480-9411
- NPI assigned
- Dec 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | G65802 | CA | Primary |
Addresses
Primary practice location
631 Fulton Ave
Sacramento, CA 95825-4813
Mailing address
PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G65802 | CA | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1669700712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34120",
"city": "RENO",
"state": "NV",
"postal_code": "895334120",
"telephone_number": "775-747-5050",
"fax_number": "775-326-8298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 FULTON AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958254813",
"telephone_number": "916-480-9080",
"fax_number": "916-480-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANIFF",
"first_name": "THOMAS",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "CA",
"license": "G65802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.