Individual provider Active NPI

Michael Fredric Cantwell, M.D.

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1760500011
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G060393 Issued in CA
Practice address
2300 California St
Suite #103
San Francisco, CA 94115-2753
Phone
(415) 600-3503
Fax
(415) 600-1327
NPI assigned
Mar 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G060393 CA Primary

Addresses

Primary practice location

2300 California St
Suite #103
San Francisco, CA 94115-2753

Mailing address

2951 Shasta Rd
Berkeley, CA 94708-2117
Phone (415) 600-3503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126000773 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9032247838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Pediatrics Past Accepting new patients
Pediatrix Medical Group of California, a Professional Corporation Pediatrics Past Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mcantwellmd51264@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760500011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 SHASTA RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947082117",
            "telephone_number": "415-600-3503",
            "fax_number": "415-600-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CALIFORNIA ST",
            "address_2": "SUITE #103",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152753",
            "telephone_number": "415-600-3503",
            "fax_number": "415-600-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTWELL",
        "first_name": "MICHAEL",
        "middle_name": "FREDRIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G060393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.