Active NPI
Carlos R Canizales MD Inc
- Cardiovascular Disease Physician
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CARLOS R CANIZALES MD INC
- Practice address
- 685 N 13TH Ave
Suite 9
Upland, CA 91786-4916 - Phone
- (909) 981-5923
- Fax
- (909) 920-3054
- NPI assigned
- Jun 4, 2007
- Last updated
- Feb 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos R Canizales, M.D.
- Title
- Owner
- Phone
- (909) 981-5923
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
685 N 13TH Ave
Suite 9
Upland, CA 91786-4916
Mailing address
305 N. 2ND Avenue
Suite 203
Upland, CA 91786
Phone (909) 981-5923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A212830 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
305 N 2nd Ave
Upland, CA 91786
Phone (909) 981-5923
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Upland, CA
- NPI 1285690909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424649600000",
"number": "1790987568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N. 2ND AVENUE",
"address_2": "SUITE 203",
"city": "UPLAND",
"state": "CA",
"postal_code": "91786",
"telephone_number": "909-981-5923",
"fax_number": "909-920-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 N 13TH AVE",
"address_2": "SUITE 9",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864916",
"telephone_number": "909-981-5923",
"fax_number": "909-920-3054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLOS R CANIZALES MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2015-02-23",
"status": "A",
"authorized_official_last_name": "CANIZALES",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-981-5923",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A212830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
- Marie C Carin-Parkes, NP
- Caring for Women and Children, a Medical Corporation (Advanced Healthcare OB/GYN)
- Caring Hearts Unlimited
- Daryl Christopher Caringi, DO
- Caritas Hospice Care Inc
- Carlos Y Leal DDS II Inc
- Susan K. Carmichael, MFT
- Perry Carney, M.D.
- Nancy Eliza Caro, AMFT
- Vincent Joseph Carollo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.