Active NPI
Jeshenia Prisila Canton
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1700664430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 12390
- Practice address
- 2330 Beverly Blvd
Los Angeles, CA 90057-2220 - Phone
- (213) 910-7137
- NPI assigned
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12390 | CA | Primary |
Addresses
Primary practice location
2330 Beverly Blvd
Los Angeles, CA 90057-2220
Mailing address
2330 Beverly Blvd
Los Angeles, CA 90057-2220
Phone (213) 744-0724
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1700664430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572220",
"telephone_number": "213-744-0724",
"fax_number": "213-342-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572220",
"telephone_number": "213-910-7137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTON",
"first_name": "JESHENIA",
"middle_name": "PRISILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "12390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.