Active NPI
Arthur Robert Ciancutti, MD
- Family Medicine Physician
- Mendocino, CA
National Provider Identifier
1689200867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G20022
- Practice address
- 9351 N Highway 1
Mendocino, CA 95460-9770 - Phone
- (707) 937-2144
- NPI assigned
- Mar 19, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G20022 | CA | Primary |
Addresses
Primary practice location
9351 N Highway 1
Mendocino, CA 95460-9770
Mailing address
9351 N Highway 1
Mendocino, CA 95460-9770
Phone (707) 937-2144
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G20022 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1689200867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9351 N HIGHWAY 1",
"city": "MENDOCINO",
"state": "CA",
"postal_code": "954609770",
"telephone_number": "707-937-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9351 N HIGHWAY 1",
"city": "MENDOCINO",
"state": "CA",
"postal_code": "954609770",
"telephone_number": "707-937-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIANCUTTI",
"first_name": "ARTHUR",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-19",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G20022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mendocino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.