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GERARDO CANCHOLA MD, INC.
NPI 1487191516
General Practice in Santa Ana, CA

Active since January 26, 2017CLIA 05D1101710 · Waiver
2621 S BRISTOL ST STE 308, SANTA ANA, CA 92704(714) 662-7710(714) 662-4407 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 15, 2022, Jan 26, 2017 (2 updates tracked since 2017).

About Gerardo Canchola Md, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERARDO CANCHOLA MD, INC. (NPI 1487191516) is a healthcare organization registered as a general practice in Santa Ana, California and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Gerardo Canchola, Owner, as its authorized official.

NPPES Registry Identity

NPI1487191516
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGERARDO CANCHOLA MD, INC.
Location Address2621 S BRISTOL ST STE 308Santa Ana, CA 92704-5719
Mailing Address2621 S Bristol St Ste 308Santa Ana, CA 92704-5719 · (714) 662-7710 · Fax (714) 662-4407
Phone(714) 662-7710
Fax(714) 662-4407
Organization SubpartNo
Authorized OfficialGerardo CancholaOwner · (714) 662-7710
Enumeration DateJanuary 26, 2017
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1487191516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G55328
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2621 S BRISTOL ST STE 308, Santa Ana, CA 92704
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1101710

Gerardo Canchola, MD Inc · Santa Ana, CA
Active · expires Jul 1, 2027
CLIA Number05D1101710
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorGerardo Canchola
Laboratory Phone(714) 662-7710
Laboratory LocationGerardo Canchola, MD Inc2621 S Bristol St #308, Santa Ana, CA 92706
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerardo Canchola MD, Inc.'s NPI number?

The NPI number for Gerardo Canchola MD, Inc. is 1487191516. It was assigned to this organization in the NPPES registry on January 26, 2017.

Where is Gerardo Canchola MD, Inc. located?

Gerardo Canchola MD, Inc. is located at 2621 S Bristol St Ste 308, Santa Ana, CA 92704. The listed phone number is (714) 662-7710.

What is Gerardo Canchola MD, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Gerardo Canchola MD, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1101710) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gerardo Canchola MD, Inc. was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.