Patrick J. Cannon, MD Facs a Medical Corporation

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G29054 Issued in CA

Legal business name

PATRICK J. CANNON, MD FACS A MEDICAL CORPORATION

Practice address

16101 Ventura Blvd
Suite 300
Encino, CA 91436-2500

Phone

(818) 788-5700

Fax

(818) 788-5702

NPI assigned

Oct 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick James Cannon, MD

Title

President

Phone

(818) 788-5700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1740590983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD",
            "address_2": "SUITE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362500",
            "telephone_number": "818-788-5700",
            "fax_number": "818-788-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD",
            "address_2": "SUITE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362500",
            "telephone_number": "818-788-5700",
            "fax_number": "818-788-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. CANNON, MD FACS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-788-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G29054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hetavi Patel
• Path to Healing
• Pathway Professionals Program
• Cecilia Patino, NP
• Norma P Patino, MS
• Eva Patrick
• Daniel Patterson
• Lori Ann Patton-Xavier
• Paul H. Key MD, a Medical Corporation
• Paul Inglizian, LCSW

• Urology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.