Active NPI
Marcos S Canas, MD
- Anesthesiology Physician
- Tulare, CA
National Provider Identifier
1780638197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A30900
- Practice address
- 869 N Cherry St
Tulare, CA 93274-2207 - Phone
- (559) 688-0821
- NPI assigned
- May 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A30900 | CA | Primary |
Addresses
Primary practice location
869 N Cherry St
Tulare, CA 93274-2207
Mailing address
1187 N Willow Ave
Ste 103 PMB#300
Clovis, CA 93611-4411
Phone (559) 324-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A309000 | Medicaid | CA |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A30900 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1780638197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 N WILLOW AVE",
"address_2": "STE 103 PMB#300",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936114411",
"telephone_number": "559-324-7300",
"fax_number": "559-324-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "869 N CHERRY ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932742207",
"telephone_number": "559-688-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAS",
"first_name": "MARCOS",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A30900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A309000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.