Active NPI
David Bruce Canton, D.O.
- Family Medicine Physician
- Redding, CA
National Provider Identifier
1710151543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A10663
- Practice address
- 1035 Placer St
Redding, CA 96001-1125 - Phone
- (530) 246-4000
- Fax
- (530) 241-7838
- NPI assigned
- Apr 14, 2008
- Last updated
- Aug 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00001385 | WA | |
| Family Medicine Physician | 207Q00000X | 0102202194 | VA | |
| Family Medicine Physician | 207Q00000X | 20A10663 | CA | Primary |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 036-073430 | IL |
Addresses
Primary practice location
1035 Placer St
Redding, CA 96001-1125
Mailing address
1035 Placer St
Redding, CA 96001-1125
Phone (530) 246-4000
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10663 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 20A10663 | CA | MD | Family Medicine Physician |
| 0102202194 | VA | MD | Family Medicine Physician |
| OP00001385 | WA | MD | Family Medicine Physician |
| 036-073430 | IL | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanuel Medical Center, Inc. | Past | Accepting new patients | |
| Emanuel Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Skilled Nursing Facility
- Turlock, CA
- NPI 1164514287
-
- Family Medicine Physician
- Turlock, CA
- NPI 1275764615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1710151543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 PLACER ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011125",
"telephone_number": "530-246-4000",
"fax_number": "530-241-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 PLACER ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011125",
"telephone_number": "530-246-4000",
"fax_number": "530-241-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTON",
"first_name": "DAVID",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-14",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP00001385",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102202194",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A10663",
"primary": true
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "IL",
"license": "036-073430",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.