ANDREW CANNON, M.D., A MEDICAL CORPORATION
NPI 1962786517
Anesthesiology in Thousand Oaks, CA
About Andrew Cannon, M.d., A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW CANNON, M.D., A MEDICAL CORPORATION (NPI 1962786517) is a healthcare organization registered as an anesthesiology in Thousand Oaks, California and active in the NPI registry since September 2011. The organization lists Andrew Cannon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Cannon, M.d., A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Andrew Cannon, M.D., A Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Andrew Cannon, M.D., A Medical Corporation's NPI number?
The NPI number for Andrew Cannon, M.D., A Medical Corporation is 1962786517. It was assigned to this organization in the NPPES registry on September 30, 2011.
Where is Andrew Cannon, M.D., A Medical Corporation located?
Andrew Cannon, M.D., A Medical Corporation is located at 215 W Janss Rd, Thousand Oaks, CA 91360. The listed phone number is (805) 578-8300.
What is Andrew Cannon, M.D., A Medical Corporation's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Andrew Cannon, M.D., A Medical Corporation enrolled in Medicare?
Yes. Andrew Cannon, M.D., A Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Andrew Cannon, M.D., A Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Andrew Cannon, M.D., A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Andrew Cannon, M.D., A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Cannon, M.D., A Medical Corporation was last updated on September 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Andrew Cannon, M.d., A Medical Corporation · NPI 1962786517
Anesthesiology organization in Thousand Oaks, California. Organization record, active in the CMS NPPES registry since September 30, 2011.
## Identity
- **NPI:** 1962786517 (Entity type: Organization)
- **Enumerated:** September 30, 2011
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** Andrew Cannon, PRESIDENT
## Practice location
- **Address:** 215 W JANSS RD, Thousand Oaks, CA 91360-1847
- **Phone:** (805) 578-8300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Anesthesiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1962786517) · Data from the CMS NPPES public registry.