Lillian Mae Cannady, MEDICAL ASSISTANCE

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

45281 Issued in CA

Practice address

7151 Lincoln Ave
F
Buena Park, CA 90620-4613

Phone

(714) 761-4831

Fax

(714) 761-4833

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lillian Mae Cannady a J Healthcare Supply

  • Durable Medical Equipment & Medical Supplies
  • Buena Park, CA
  • NPI 1316127897
  NPD (past) Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801990312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 LINCOLN AVE",
            "address_2": "F",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204613",
            "telephone_number": "714-761-4831",
            "fax_number": "714-761-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 LINCOLN AVE",
            "address_2": "F",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204613",
            "telephone_number": "714-761-4831",
            "fax_number": "714-761-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNADY",
        "first_name": "LILLIAN",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "MEDICAL ASSISTANCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camelot Residential Homes, Inc.
• Elizabeth W Cammon
• Sarah Dallas Campanella
• Lindsey Miller Campos, M.A. CCC-SLP
• Zahire Campos
• Sonia G Canton Moran, DDS
• Shengqi Cao
• Maria Rhodora Lazaro Capiral
• Cindy Lorraine Carbajal
• Guillian Elizabeth Cardenas

• Durable Medical Equipment & Medical Supplies in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.