Angel Cantu

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

311 E Merced St
Fowler, CA 93625-2316

Phone

(559) 892-9452

NPI assigned

Mar 18, 2018

Sex

Female

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

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.

• Prodigy Healthcare Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Selma, CA
  • NPI 1487164877

  Addiction (Substance Use Disorder)

  NPD (past)
• Prodigy Healthcare Inc.

  • Community/Behavioral Health Agency
  • Kingsburg, CA
  • NPI 1609321728
  NPD (past)
• Prodigy Healthcare Inc.

  • Community/Behavioral Health Agency
  • Kingsburg, CA
  • NPI 1972955227
  NPD (past)
• Prodigy Healthcare Non Profit

  • Adolescent and Children Mental Health Clinic/Center
  • Fowler, CA
  • NPI 1265158661
  NPD (past)
• Prodigy Healthcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Caruthers, CA
  • NPI 1144617176
  NPD (past)
• Prodigy Healthcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Caruthers, CA
  • NPI 1154718401
  NPD (past)
• Prodigy Healthcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Caruthers, CA
  • NPI 1518354869
  NPD (past)

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1972006773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MERCED ST",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936252316",
            "telephone_number": "559-892-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MERCED ST",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936252316",
            "telephone_number": "559-892-9452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Kingsburg",
            "state": "CA",
            "postal_code": "936311699",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 E Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936252702",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Main St",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936252499",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Walter Ave",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936259792",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Tiller Ave.",
            "address_purpose": "LOCATION",
            "city": "Caruthers",
            "state": "CA",
            "postal_code": "93609",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2580 W Tahoe Ave",
            "address_purpose": "LOCATION",
            "city": "Caruthers",
            "state": "CA",
            "postal_code": "936099475",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13620 S. Kincaid",
            "address_purpose": "LOCATION",
            "city": "Caruthers",
            "state": "CA",
            "postal_code": "93609",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2311 Sierra St",
            "address_purpose": "LOCATION",
            "city": "Kingsburg",
            "state": "CA",
            "postal_code": "936311457",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3125 Wright St",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "936622499",
            "country_code": "US",
            "telephone_number": "559-892-9452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU",
        "first_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brighter Horizon Group Homes, Inc.
• Marwin Bueno
• Robert Bugarin Jr.
• Erica Anne Buller, MS, PPA
• Hector Elpidio Cabrera, LCSW
• Stacy Carbajal Mendoza
• Jennifer Carbajal-Mendoza
• Kimberly Herrera Carbajal
• Antinette Michelle Cardenas, M.S, PPS
• Christina Reyna Carrillo, LCSW

• All providers in Fowler, CA
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.