Jeffrey D Canonoy, BSN, PMHRN-BC, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

95029468 Issued in CA

Practice address

150 UCLA Medical PLZ
Los Angeles, CA 90024-8313

Phone

(310) 267-7418

NPI assigned

Dec 24, 2024

Sex

Male

Sole proprietor

No

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1922816701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15735 NORDHOFF ST UNIT 22",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433155",
            "telephone_number": "909-231-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 UCLA MEDICAL PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900248313",
            "telephone_number": "310-267-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANONOY",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "BSN, PMHRN-BC, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95029468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Cano
• Vanessa Marie Cano
• Luisa Fernanda Canon Garzon
• Canon Human Services Centers Inc
• Canon Human Services Centers, Inc,
• Sandy Beller Canout, O.T.,P.T.,C.F.P.,CHT
• Dexter Canoy
• Edward Canoy
• Stephanie Cansler-Durr
• Alexandria Brittany Cantarero, MD

• Adult Psychiatric/Mental Health Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.