William P. Cannata, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G81906 Issued in CA

Practice address

1041 N China Lake Blvd
B
Ridgecrest, CA 93555-3183

Phone

(760) 446-6404

Fax

(760) 446-6415

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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.

• Bear Valley Community Health Care District

  • Long Term Care Pharmacy
  • Big Bear Lake, CA
  • NPI 1073553756

  CA

  Medicare reassignment Care Compare group NPD
• Bear Valley Community Health Care District

  • Rural Health Clinic/Center
  • Big Bear Lake, CA
  • NPI 1851576888
  Care Compare group
• Bear Valley Community Health Care District

  • Rural Health Clinic/Center
  • Big Bear City, CA
  • NPI 1871778803
  Care Compare group

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

• Bear Valley Community Health Care District

  • Long Term Care Pharmacy
  • Big Bear Lake, CA
  • NPI 1073553756

  Hospital

  Care Compare affiliation

Specialty

General Surgery

Education

New York Medical College, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bear Valley Community Health Care District 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bear Valley Community Hospital Hospital, Big Bear Lake, CA, CCN 051335

Procedures performed for Medicare patients

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: williamcannata@rrh.medalliesdirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2021.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1891834446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N CHINA LAKE BLVD",
            "address_2": "B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553183",
            "telephone_number": "760-446-6404",
            "fax_number": "760-446-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N CHINA LAKE BLVD",
            "address_2": "B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553183",
            "telephone_number": "760-446-6404",
            "fax_number": "760-446-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNATA",
        "first_name": "WILLIAM",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G81906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G816060",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "williamcannata@rrh.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "RRH Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1041 N China Lake Blvd",
            "address_2": "B",
            "city": "Ridgecrest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935553183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marvin Buenaventura
• Judith J Burichin, M.D.
• Karen Irene Busmire, RN
• California Em-I Medical Services a Medical Corporation
• California Laborist Group
• Katherine Ling Caras, RPH
• Beth Durant Cardenaz
• Care Medical, a California Corporation
• Caroline K. Robison, O.D.
• Caroline Robison Optometry Inc.

• All providers in Ridgecrest, CA
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.