Active NPI
Said Cantu, MD
- Psychiatry Physician
- Lake Charles, LA
National Provider Identifier
1679602932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 201247
- Practice address
- 2829 4TH Avenue
Lake Charles, LA 70601 - Phone
- (337) 477-7091
- Fax
- (337) 474-4552
- NPI assigned
- Mar 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD.201247 | LA | |
| Psychiatry Physician | 2084P0800X | 201247 | LA | Primary |
Addresses
Primary practice location
2829 4TH Avenue
Lake Charles, LA 70601
Mailing address
PO Box 122108
Dept 2108
Dallas, TX 75312-2108
Phone (337) 477-7091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019780 | Medicaid | LA |
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 |
|---|---|---|---|
| 201247 | LA | MD | Psychiatry Physician |
| MD.201247 | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Louisiana Hospital Association Inc | Past | Accepting new patients |
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.
-
- Psychiatric Hospital Unit
- Lake Charles, LA
- NPI 1679637805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1679602932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122108",
"address_2": "DEPT 2108",
"city": "DALLAS",
"state": "TX",
"postal_code": "753122108",
"telephone_number": "337-477-7091",
"fax_number": "337-474-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 4TH AVENUE",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70601",
"telephone_number": "337-477-7091",
"fax_number": "337-474-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTU",
"first_name": "SAID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "MD.201247",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "201247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019780",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.