Individual provider Active NPI

Kenneth Cantos, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Laguna Beach, CA
National Provider Identifier
1871633875
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G81378 Issued in CA
Practice address
31872 Coast Hwy
Mission Laguna Pathology Medical Group
Laguna Beach, CA 92651-6773
Phone
(949) 499-7288
NPI assigned
Feb 7, 2007
Last updated
May 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G81378 CA Primary

Addresses

Primary practice location

31872 Coast Hwy
Mission Laguna Pathology Medical Group
Laguna Beach, CA 92651-6773

Mailing address

956 Alexandra Dr
Corona, CA 92881-8682
Phone (951) 733-2410

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
I20100526000025 CA Practitioner - Pathology 1254460587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Loma Linda University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 891-1297

15375 Barranca Pkwy
Suite F101
Irvine, CA 92618-2207
Phone (949) 680-2403

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81378CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Harbor Pathology Medical Group Inc CurrentSince Nov 1, 2016 Accepting new patients
Newport Harbor Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2016 Accepting new patients

Locations

15375 Barranca Pkwy
Ste F101
Irvine, CA 92618
Phone (949) 264-8904

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

805 W La Veta Ave
Ste 104
Orange, CA 92868
Phone (714) 288-4044

Organizations & group practices 2

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1871633875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 ALEXANDRA DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818682",
            "telephone_number": "951-733-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31872 COAST HWY",
            "address_2": "MISSION LAGUNA PATHOLOGY MEDICAL GROUP",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516773",
            "telephone_number": "949-499-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTOS",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G81378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.