SOPHIA CANAVAN
NPI 1740921097
Student in an Organized Health Care Education/Training Program in San Jose, CA
About Sophia Canavan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA CANAVAN (NPI 1740921097) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sophia Canavan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Sophia Canavan's NPI number?
The NPI number for Sophia Canavan is 1740921097. It was assigned to this individual provider in the NPPES registry on April 1, 2022. The provider is also known as Sofija Canavan.
Where is Sophia Canavan located?
Sophia Canavan practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 885-5110.
What is Sophia Canavan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sophia Canavan enrolled in Medicare?
Yes. Sophia Canavan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sophia Canavan was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sophia Canavan · NPI 1740921097
Student in an Organized Health Care Education/Training Program provider in San Jose, California. Individual provider, active in the CMS NPPES registry since April 1, 2022.
## Identity
- **NPI:** 1740921097 (Entity type: Individual)
- **Enumerated:** April 1, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 751 S BASCOM AVE, San Jose, CA 95128-2699
- **Phone:** (408) 885-5110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1740921097) · Data from the CMS NPPES public registry.