Individual provider Active NPI

Yvette Canaba, DPM

  • Primary Podiatric Medicine Podiatrist
  • Santee, CA
National Provider Identifier
1821426388
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E5496 Issued in CA
Practice address
10201 Mission Gorge Rd Ste K1
Santee, CA 92071-3026
Phone
(619) 449-9100
Fax
(619) 449-0722
NPI assigned
Oct 21, 2013
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 65-P89997 NY
Podiatrist 213E00000X 59.000634 OH
Podiatrist 213E00000X E5496 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E5496 CA
Foot Surgery Podiatrist 213ES0131X E5496 CA
Primary Podiatric Medicine Podiatrist 213EP1101X E5496 CA Primary

Addresses

Primary practice location

10201 Mission Gorge Rd Ste K1
Santee, CA 92071-3026

Mailing address

10201 Mission Gorge Rd Ste K1
Santee, CA 92071-3026
Phone (619) 449-9100

Other practice location 1

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000 ext. 7256

Other practice location 2

27155 Chardon Rd Ste 104
Richmond Heights, OH 44143-1187
Phone (619) 347-0423

Other practice location 3

10201 Mission Gorge Rd Ste K1
Santee, CA 92071
Phone (619) 347-0423

Other practice location 4

345 F St Ste 100
Chula Vista, CA 91910-2632
Phone (619) 427-3481

Other practice location 5

5565 Grossmont Center Dr Ste 510
LA Mesa, CA 91942-3024
Phone (619) 303-7130

Other practice location 6

1582 W San Marcos Blvd Ste 100
San Marcos, CA 92078-4081
Phone (760) 591-9975

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131003300 CA Practitioner - Podiatry 1456602945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

8772 Cuyamaca St
Suite 102
Santee, CA 92071-4207
Phone (619) 449-9100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue21
Removal of skin lesions1-10
Removal of nail tissue26
Removal or shaving of skin growth31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5496CAMDPodiatrist
65-P89997NYMDPodiatrist
59.000634OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Jan 3, 2024 Accepting new patients
Yvette Canaba DPM Apc Podiatrist CurrentSince Jul 1, 2021 Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Uh Regional Hospitals Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Toe-Tal Family Footcare Primary Podiatric Medicine Past Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

5565 Grossmont Center Dr
Ste 510
La Mesa, CA 91942
Phone (619) 303-7130

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

8872 Cuyamaca St Ste 102
Santee, CA 92071

8772 Cuyamaca St
Ste 102
Santee, CA 92071
Phone (619) 449-9100

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1821426388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 MISSION GORGE RD STE K1",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713026",
            "telephone_number": "619-449-9100",
            "fax_number": "619-449-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 MISSION GORGE RD STE K1",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713026",
            "telephone_number": "619-449-9100",
            "fax_number": "619-449-0722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Beach 19th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914423",
            "country_code": "US",
            "telephone_number": "718-869-7000 x7256",
            "fax_number": "718-869-7834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27155 Chardon Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "OH",
            "postal_code": "441431187",
            "country_code": "US",
            "telephone_number": "619-347-0423",
            "fax_number": "440-585-6176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10201 Mission Gorge Rd Ste K1",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "92071",
            "country_code": "US",
            "telephone_number": "619-347-0423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 F St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919102632",
            "country_code": "US",
            "telephone_number": "619-427-3481",
            "fax_number": "619-420-7807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5565 Grossmont Center Dr Ste 510",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423024",
            "country_code": "US",
            "telephone_number": "619-303-7130",
            "fax_number": "619-303-7150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1582 W San Marcos Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920784081",
            "country_code": "US",
            "telephone_number": "760-591-9975",
            "fax_number": "760-591-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANABA",
        "first_name": "YVETTE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-21",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "65-P89997",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "59.000634",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5496",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5496",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E5496",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E5496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.