JERROLD D CANTOR MD INC NPI 1639148026

NPI Information

  • NPI: 1639148026
  • Provider Name: JERROLD D CANTOR MD INC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 2621 S BRISTOL ST
    STE 305
    SANTA ANA, CA
    ZIP 92704
  • Phone: (714) 751-0034

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NPI Details

JERROLD D CANTOR MD INC is a cardiovascular disease internal medicine in Santa Ana, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. JERROLD D CANTOR MD INC NPI is 1639148026. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2621 S BRISTOL ST
STE 305
SANTA ANA, CA
ZIP 92704
Phone: (714) 751-0034
Fax: (714) 751-1132

The provider's authorized official is Jerrold D Cantor .
The authorized official title is President and has the following contact phone number (714) 751-0034.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 10/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseG23528CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A41982MEDICARE UPIN
2WG23528CMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3W2996MEDICARE PINCALIFORNIA
4WG23528AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
5WG23528BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
600G235280MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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