DR. SUSAN CANNING M.D.
NPI 1689677122
Dermatology in Los Angeles, CA

Active since May 28, 2005PECOS Enrolled
95.18/100
CMS Quality Rating
3966 MARCASEL AVE, LOS ANGELES, CA 90066(949) 482-1930(216) 273-9998 Get Directions Write a Review

NPPES record last updated: April 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2023, May 12, 2022, Jul 11, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Susan Canning M.d. NPPES

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

DR. SUSAN CANNING M.D. (NPI 1689677122) is an individual dermatology provider in Los Angeles, California, licensed in California (G174181) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rancho Cucamonga.

NPPES Registry Identity

NPI1689677122
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. SUSAN CANNINGCredential: M.D.
Location Address3966 MARCASEL AVELos Angeles, CA 90066-4616
Mailing Address13600 Marina Pointe Dr Unit 1507Marina Del Rey, CA 90292-9253 · (301) 704-4398
Fax(216) 273-9998
Sole ProprietorYes
Enumeration DateMay 28, 2005
Last NPPES UpdateApril 8, 20234 updates tracked since enumeration
NPPES CertifiedApril 8, 2023
NPI 1689677122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G174181
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3966 MARCASEL AVE, Los Angeles, CA 90066

Secondary Practice Location 1

Location 110621 Church St Ste 120Rancho Cucamonga, CA 91730-6834 · Phone (909) 944-0486 · Fax (909) 944-0486

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Susan Canning M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.36
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3966 MARCASEL AVE
LOS ANGELES, CA 90066
Physical Therapist
3966 MARCASEL AVE
LOS ANGELES, CA 90066
Skilled Nursing Facility
3966 MARCASEL AVE
LOS ANGELES, CA 90066
Skilled Nursing Facility
3966 MARCASEL AVE
LOS ANGELES, CA 90066
Speech-Language Pathologist
3966 MARCASEL AVE
LOS ANGELES, CA 90066

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 Susan Canning's NPI number?

The NPI number for Susan Canning is 1689677122. It was assigned to this individual provider in the NPPES registry on May 28, 2005.

Where is Susan Canning located?

Susan Canning practices at 3966 Marcasel Ave, Los Angeles, CA 90066. The listed phone number is (949) 482-1930.

What is Susan Canning's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Susan Canning enrolled in Medicare?

Yes. Susan Canning is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Canning was last updated on April 8, 2023. 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.