Jeffrey Canter (NPI# 1124091095, PAC ID# 2769575794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1124091095 |
| PAC ID by PECOS | 2769575794 |
| Professional Enrollment ID | I20070907000403 |
| Full Name | Jeffrey Canter |
| Organization Legal Name | SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES INC |
| Address |
450 Newport Ctr Dr Suite 650 Newport Beach CA 92660-7641 |
| Phone Number | 9496445800 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7810896768 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 | 9496445800 | SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES INC |
| Organization Legal Name | SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sierra A Moulton | Osteopathic Manipulative Medicine | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Richard M Paicius | Pain Management | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Almira Dukovic | Physician Assistant | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Paolo Gabriel Jorge | Pain Management | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Andrew W Merritt | Physical Medicine and Rehabilitation | Southern California Spine and Sport Medical Associates Inc | 23141 Moulton Pkwy, Suite 201, Laguna Hills, CA 92653-1241 |
| Street Address |
450 NEWPORT CTR DR SUITE 650 |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92660-7641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sierra A Moulton | Osteopathic Manipulative Medicine | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Richard M Paicius | Pain Management | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Almira Dukovic | Physician Assistant | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Paolo Gabriel Jorge | Pain Management | Southern California Spine and Sport Medical Associates Inc | 450 Newport Ctr Dr, Suite 650, Newport Beach, CA 92660-7641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nirav B Savalia | Plastic and Reconstructive Surgery | 180 Newport Ctr Dr, Suite 170, Newport Beach, CA 92660 | |
| Joannie D Sun | Dermatology | Dermatology Associates of Orange County, Inc | 230 Newport Ctr Dr, 200 Advanced Dermatology of Orange, Newport Beach, CA 92660 |
| Rumana Mansur | Psychologist, Clinical | 180 Newport Ctr Dr, Suite 270d, Newport Beach, CA 92660 | |
| B B Rahavi | Rheumatology | 400 Newport Ctr Dr, 602a, Newport Beach, CA 92660 | |
| Thomas A Hendrickx | Physical Therapy | 2290 Se Bristol St, Suite 104, Newport Beach, CA 92660-0746 | |
| Lawson Victor Sealey | Chiropractic | 20151 Sw Birch St, Suite 200, Newport Beach, CA 92660-0776 | |
| Estera Han | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 20162 Sw Birch St, Suite 260, Newport Beach, CA 92660-0787 |
| Parth P Patel | Physical Therapy | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Alejandro Gonzalez | Internal Medicine | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Bettina T Limjoco | Physical Medicine and Rehabilitation | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0795 | |
| Find all physicians in zip 92660 | |||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NEWPORT BEACH + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.