MR. JOHN DAVID CANNON (NPI# 1649514621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649514621 |
| Entity Type | Individual |
| Full Name | MR. JOHN DAVID CANNON |
| Practice Address |
280 17th St Oakland CA 94612-4124 |
| Practice Telephone | 5102385020 |
| Practice Fax Number | 5102385020 |
| Mailing Telephone | 5102385020 |
| Mailing Fax Number | 5102385020 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EMPLOYER IDENTIFICATION NUMBER | 1411033663 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952537086 | John Cannon | Nurse's Aide | 835 Wiler Drive, Chula Vista, CA 91910 | 2009-06-03 |
| 1225143720 | John Shrader Cannon | Dentist | 1661 Aaron Brenner Dr Ste 105, Memphis, TN 38120-1467 | 2006-08-21 |
| 1568475598 | John H. Cannon IIi | Family Medicine | 1055 Clarksville Street, Suite 165, Paris, TX 75460 | 2006-08-14 |
| 1487618211 | John Roy Cannon | Counselor | 117 Larkspur Rd, Newark, DE 19711-6863 | 2006-04-17 |
| 1992790430 | John M Cannon | Urology | 1770 Long Pond Rd, Suite 101, Rochester, NY 14606-4057 | 2005-09-12 |
| 1992102347 | John Cannon | Home Health | 1700 S Amphlett Blvd Ste 200, San Mateo, CA 94402-2717 | 2014-12-01 |
| 1568584514 | John Clark Cannon | Social Worker | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2007-04-03 |
| 1700903143 | John T. Cannon | Counselor | 11605 Arbor St, Suite 106, Omaha, NE 68144-2982 | 2007-03-22 |
| 1972537470 | John Robert Cannon | Chiropractor | 600 State St, Suite A, Portsmouth, NH 03801-4370 | 2006-07-10 |
| Street Address |
280 17TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598852741 | Telecare Corporation | Clinic/Center | 280 17th St, Oakland, CA 94612-4124 | 2006-10-09 |
| 1497356208 | Katarzyna Modzelewska | Case Manager/Care Coordinator | 280 17th St, Oakland, CA 94612-4124 | 2020-11-06 |
| 1477166593 | Jonathan Setiawan | Case Manager/Care Coordinator | 280 17th St, Oakland, CA 94612-4124 | 2020-08-28 |
| 1780208850 | Savannah Varela | Social Worker | 280 17th St, Oakland, CA 94612-4124 | 2020-06-03 |
| 1245866631 | Princess At Wesseh | Registered Nurse | 280 17th St, Oakland, CA 94612-4124 | 2020-03-17 |
| 1578100103 | Donald Raymond Hiers | Counselor | 280 17th St, Oakland, CA 94612-4124 | 2019-12-02 |
| 1265079099 | Paris Watson | Case Manager/Care Coordinator | 280 17th St, Oakland, CA 94612-4124 | 2019-11-27 |
| 1538705363 | Camille A Woods | Counselor | 280 17th St, Oakland, CA 94612-4124 | 2019-11-27 |
| 1104462175 | Ladarien Jarey Gillins | Social Worker | 280 17th St, Oakland, CA 94612-4124 | 2019-11-25 |
| 1699317628 | Tameka R Purnell | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1982218418 | Jill Patience Lahmann | Counselor | 1000 Broadway Ste 300, Oakland, CA 94607-4099 | 2020-09-02 |
| 1659983955 | Abigail Weintraub | Counselor | 625 Mariposa Ave, Oakland, CA 94610-1312 | 2020-08-18 |
| 1447871561 | Ronika Williams | Counselor | 555 98th Ave Apt 55598th, Oakland, CA 94603-2100 | 2020-04-29 |
| 1699306092 | Bryon C Pickens | Counselor | 355 Bob White Rd, Oakland, TN 38060-4109 | 2020-02-04 |
| 1366082950 | La Tronda Shawna Lumpkins | Counselor | 8501 International Blvd, Oakland, CA 94621-1549 | 2020-01-10 |
| 1861033201 | Fatima Zahra Allam | Counselor | 1900 Embarcadero Ste 305, Oakland, CA 94606-5227 | 2019-10-07 |
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1013472224 | Janay Green | Counselor | 6951 Lion Way Apt 302, Oakland, CA 94621-3368 | 2019-02-01 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.