John Cannon

NPI 1992102347 · on the registry since 2014 · sole proprietor

Practice

Address: 1700 S Amphlett Blvd Ste 200
San Mateo, CA 94402
Phone: (650) 685-6558
Fax: (650) 240-8669
Organisation at this address: Bay Pioneers, Llc
Telecare Corporation
Blue Lotus Connection
Stem Cognitive And Psychological Rehabilitation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 45

Registry record

Primary taxonomy: 251E00000X
251E00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California