Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ETHAN ABRAHAM CANTY MD
NPI 1790312536
Allergy & Immunology in San Diego, CA

Active since March 23, 2020PECOS Enrolled
5776 RUFFIN RD, SAN DIEGO, CA 92123(858) 966-4900(858) 268-5145 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 28, 2026, Jul 27, 2026, Jul 9, 2025 and 4 more (7 updates tracked since 2020).

About Dr. Ethan Abraham Canty Md NPPES

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

DR. ETHAN ABRAHAM CANTY MD (NPI 1790312536) is an individual allergy & immunology provider in San Diego, California, licensed in California (A185856) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2020).

NPPES Registry Identity

NPI1790312536
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. ETHAN ABRAHAM CANTYCredential: MD
Location Address5776 RUFFIN RDSan Diego, CA 92123-1013
Mailing Address3020 Childrens Way, Mc5003San Diego, CA 92123-4223 · (858) 576-1700
Fax(858) 268-5145
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateAugust 28, 20267 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
NPI 1790312536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in CA · A185856
Definition
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.
Also ListedPediatricsTaxonomy 208000000X · License A185856 (CA)
5776 RUFFIN RD, San Diego, CA 92123

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ethan Abraham Canty Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305269754
PECOS Enrollment IDI20250717004170
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.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Pediatrics)
5776 RUFFIN RD
SAN DIEGO, CA 92123
Nurse Practitioner (Family)
5776 RUFFIN RD
SAN DIEGO, CA 92123
Physician Assistant (Medical)
5776 RUFFIN RD
SAN DIEGO, CA 92123
Allergy & Immunology
5776 RUFFIN RD
SAN DIEGO, CA 92123
Allergy & Immunology
5776 RUFFIN RD
SAN DIEGO, CA 92123
Allergy & Immunology
5776 RUFFIN RD
SAN DIEGO, CA 92123
Allergy & Immunology
5776 RUFFIN RD
SAN DIEGO, CA 92123
Specialist
5776 RUFFIN RD
SAN DIEGO, CA 92123

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 Ethan Canty's NPI number?

The NPI number for Ethan Canty is 1790312536. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Ethan Canty located?

Ethan Canty practices at 5776 Ruffin Rd, San Diego, CA 92123. The listed phone number is (858) 966-4900.

What is Ethan Canty's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Ethan Canty enrolled in Medicare?

Yes. Ethan Canty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ethan Canty was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.