PATRICK J. CANNON, MD FACS A MEDICAL CORPORATION (NPI# 1740590983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740590983 |
| Entity Type | Organization |
| Organization Name | PATRICK J. CANNON, MD FACS A MEDICAL CORPORATION |
| Practice Address |
16101 Ventura Blvd Suite 300 Encino CA 91436-2500 |
| Practice Telephone | 8187885700 |
| Practice Fax Number | 8187885702 |
| Mailing Telephone | 8187885700 |
| Mailing Fax Number | 8187885702 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2012-04-12 |
| Authorized Official Name | PATRICK JAMES CANNON (PRESIDENT) |
| Authorized Official Telephone | 8187885700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G29054 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
16101 VENTURA BLVD SUITE 300 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467436568 | Russell A Klein | Internal Medicine | 16101 Ventura Blvd, Suite 340, Encino, CA 91436-2500 | 2005-12-01 |
| 1699224063 | Jonathan Yang | Physical Therapist | 16101 Ventura Blvd, Suite 336, Encino, CA 91436-2500 | 2016-09-27 |
| 1629475165 | Adam K Brown | Podiatrist | 16101 Ventura Blvd, Suite 238, Encino, CA 91436-2500 | 2014-11-26 |
| 1679973747 | Soheil Goel Dds A Professional Corporation | Dentist | 16101 Ventura Blvd, Suite 329, Encino, CA 91436-2500 | 2014-08-26 |
| 1134461890 | S&a Pain Management Corporation | Anesthesiologist Assistant | 16101 Ventura Blvd, Suite# 240, Encino, CA 91436-2500 | 2013-03-20 |
| 1407190515 | Judy Pang | Physical Therapist | 16101 Ventura Blvd, Suite 336, Encino, CA 91436-2500 | 2012-11-15 |
| 1235485624 | Kristen K Traina | Physical Therapist | 16101 Ventura Blvd, Ste# 336, Encino, CA 91436-2500 | 2012-08-03 |
| 1164790598 | Amanda B Van Frank | Physical Therapist | 16101 Ventura Blvd, Suite 336, Encino, CA 91436-2500 | 2011-12-13 |
| 1770879595 | Kenneth Chi-yan Leung | Physical Therapist | 16101 Ventura Blvd, #336, Encino, CA 91436-2500 | 2011-06-20 |
| 1942514047 | Annie Stella Dieu | Physical Therapist | 16101 Ventura Blvd, Suite 336, Encino, CA 91436-2500 | 2010-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154836435 | Michael J. Hyman, M.d.,inc. | Urology | 16311 Ventura Blvd Ste 800, Encino, CA 91436-2140 | 2017-12-07 |
| 1922233105 | Ma Koyle Inc | Urology | 4924 Balboa Blvd, Suite 138, Encino, CA 91316-3402 | 2009-05-18 |
| 1073900817 | Daniel J. Cosgrove, M.d. Inc. | Urology | 16311 Ventura Blvd, Ste. 800, Encino, CA 91436-2124 | 2015-04-20 |
| 1588718308 | Malcolm Cosgrove, Md Inc | Urology | 16311 Ventura Blvd, Ste 800, Encino, CA 91436-2124 | 2007-01-22 |
| 1689738262 | Patrick J Cannon | Urology | 16101 Ventura Blvd, Suite 300, Encino, CA 91436-2500 | 2006-12-20 |
| 1790766491 | Daniel Jeremy Cosgrove | Urology | 16311 Ventura Blvd, Ste 800, Encino, CA 91436-2124 | 2005-11-09 |
| 1609857309 | Malcolm David Cosgrove | Urology | 16311 Ventura Blvd, Ste 1000, Encino, CA 91436-2147 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
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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.