John P Canova (NPI# 1184708968, PAC ID# 4789661554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1184708968 |
| PAC ID by PECOS | 4789661554 |
| Professional Enrollment ID | I20040630000833 |
| Full Name | John P Canova |
| Address |
678 Petaluma Ave Sebastopol CA 95472-4217 |
| Phone Number | 7078292232 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050781 | SONOMA WEST MEDICAL CENTER |
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| 050291 | SUTTER SANTA ROSA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 678 Petaluma Ave, Sebastopol, CA 95472-4217 | 7078292232 |
| Street Address |
678 PETALUMA AVE |
| City | SEBASTOPOL |
| State | CA |
| Zip | 95472-4217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David K Fichman | Family Medicine | 678 Petaluma Ave, Sebastopol, CA 95472-4217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy A Davidson | Family Practice | 6800 Palm Ave, Suite A, Sebastopol, CA 95472-2446 | |
| Andrew Stephen Wagner | Family Medicine | 819 Longwood Ln, Sebastopol, CA 95472-2734 | |
| Brian P Jacobs | Clinical Social Worker | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| David Perry Molencupp | Chiropractic | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| Barry Lynn Lutz | Optometry | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| Richard S Schechter | Chiropractic | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| Larry A Smith | Podiatry | 1035 Gravenstein Hwy N, Sebastopol, CA 95472-2811 | |
| Norman J Mintz | Optometry | 825 Gravenstein Hwy N, Suite 7, Sebastopol, CA 95472-2844 | |
| Julie Smith | Physical Therapy | 100 Pleasant Hill N, Sebastopol1, CA 95472-3104 | |
| Patricia D Martinez | Physical Therapy | 100 Pleasant Hill N Ave, Sebastopol, CA 95472-3104 | |
| Find all physicians in zip 95472 | |||
| City | SEBASTOPOL |
| Zip Code | 95472 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SEBASTOPOL + FAMILY PRACTICE |
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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.