MEDICARE: GERARDO CANCHOLA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G 55328	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639185879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERARDO CANCHOLA M.D.

Provider Business Mailing Address
First Line	:	2621 S BRISTOL ST STE 302
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5719
Country	:	US
Telephone Number	:	714-662-7710
Fax Number	:	714-540-5690

Provider Business Practice Location Address
First Line	:	2621 S BRISTOL ST STE 302
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5719
Country	:	US
Telephone Number	:	714-662-7710
Fax Number	:	714-540-5690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	01/26/2017

Similar Medicare Providers

1972506988 — PAUL Y HAN DPM
Practice Location Address:

2621 S BRISTOL ST , STE 209
SANTA ANA, CA
92704-5719

Practice Phone: 714-850-1300
Practice Fax: 714-850-1301

1184735102 — DR. DAVID C YANG MD
Practice Location Address:

2621 S BRISTOL ST , SUITE 306
SANTA ANA, CA
92704-5719

Practice Phone: 714-556-1882
Practice Fax: 714-556-8874

1346339330 — EUCLID FOOT CLINIC PODIATRY GROUP, INC.
Practice Location Address:

2621 S BRISTOL ST STE 209
SANTA ANA, CA
92704-5719

Practice Phone: 714-850-1300
Practice Fax: 714-850-1301

1336227792 — JERROLD CANTOR, MD, INC
Practice Location Address:

2621 S BRISTOL ST STE 305
SANTA ANA, CA
92704-5719

Practice Phone: 714-751-0034
Practice Fax:

1063547792 — DR. JERROLD DAVID CANTOR M.D.
Practice Location Address:

2621 S BRISTOL ST STE 305
SANTA ANA, CA
92704-5719

Practice Phone: 714-751-0034
Practice Fax: 714-751-1132

1427235142 — INTERNAL WELLNESS MEDICAL CENTER, INC.
Practice Location Address:

2621 S BRISTOL ST STE 307
SANTA ANA, CA
92704-5719

Practice Phone: 714-918-3070
Practice Fax: 714-918-3073

Directions to “ GERARDO CANCHOLA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.