NICOLE CANON MD
NPI 1104288398
Allergy & Immunology in Vacaville, CA
NPI Status: Active since March 25, 2016
Contact Information
1 QUALITY DR
VACAVILLE, CA
ZIP 95688
Phone: (707) 624-2020
- Individual
- Female
- Years of Experience 10
- Allergy & Immunology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About NICOLE CANON
This page provides the complete NPI Profile along with additional information for Nicole Canon, a provider established in Vacaville, California with a medical specialization in Allergy & Immunology and more than 10 years of experience. She graduated from University Of Texas Medical School At San Antonio in 2016. The healthcare provider is registered in the NPI registry with number 1104288398 assigned on March 2016. The practitioner's primary taxonomy code is 207K00000X with license number A192664 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1104288398
- Provider Name
- NICOLE CANON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 QUALITY DR VACAVILLE, CA 95688
- Location Phone
- (707) 624-2020
- Mailing Address
- 1 QUALITY DR VACAVILLE, CA 95688
- Mailing Phone
- (707) 624-2020
- Medical School Name
- UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-25-2016
- Last Update Date
- 04-09-2024
- Code Navigator
Location Map
Secondary Locations
- 1400 Jackson St # K624
Denver, CO 80206
(877) 225-5654 - 7200 Cambridge St 9th floor
Houston, TX 77030
(713) 798-6151 - 15655 Cypress Wood Medical Dr Ste 100
Houston, TX 77014
(713) 442-1700 - 106 Vision Park Blvd
Shenandoah, TX 77384
(713) 442-1800 - 13105 Wortham Center Dr
Houston, TX 77065
(713) 442-4000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Allergy & Immunology
- Taxonomy Code
- 207K00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A192664
- License State
- CA
- Taxonomy Description
- An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology | T2131 (TX) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Nicole Canon is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Nicole Canon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 42552697
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240125002889
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104288398, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
VACAVILLE, CA 95688
VACAVILLE, CA 95688
VACAVILLE, CA 95688
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104288398, enumerated as an "individual" on March 25, 2016.
The provider is located at 1 QUALITY DR VACAVILLE, CA 95688 and the phone number is (707) 624-2020.
Allergy & Immunology with taxonomy code 207K00000X.