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Michael Kantar

Dietitian, Registered β€’ Camp Pendleton, CA

Active NPI 1912316498 Individual Practitioner Male Practitioner
Practice location in NPPES

200 Mercy Circle
Camp Pendleton, CA 92055

Call 7607193038 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 Mercy Circle

Camp Pendleton, CA 92055

Telephone 7607193038
Organization at the Same NPPES Address or Phone
Nh Camp Pendleton Facility NPI 1386604387

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Camp Pendleton and California

8 active clinicians are listed under Dietitian, Registered with a practice address in Camp Pendleton, CA (7,150 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-20
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES PA DN004579

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

32 listed
NPI 1972863884

Doctor of Medicine (M.D.), Master of Science

Dr. Bryce Bowers , DO

Family Medicine

NPI 1689233470

Doctor of Osteopathic Medicine (D.O.)

NPI 1265724553

Doctor of Medicine (M.D.)

Luke Bynum , PT

Physical Therapist

NPI 1346654787

Physical Therapist

Dr. Christopher Cochran , MD

Orthopaedic Surgery

NPI 1366781585

Doctor of Medicine (M.D.)

Diane Daniels , NP

Nurse Practitioner

NPI 1376613315

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 22, 2022

Registered at 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055 (Tel: 7607193038)

πŸ“
Updated Business Mailing Address December 22, 2022

Registered at 200 MERCY CIRCLE, APARTMENT 2, CAMP PENDLETON, CA 92055

βœ…
NPI Profile Active August 08, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 08, 2014

Registered at MCCS PERSONAL SERVICES CENTER, MCB CAMP BUTLER UNIT 3502, FPO, AP 963735023 (Tel: 7182088527)

πŸ“
Business Mailing Address (Initial Record) August 08, 2014

Registered at 509 DONNELLY ST, APARTMENT 2, DURYEA, PA 186421442 (Tel: 7182088527)

πŸ‘€
Provider Name / Credentials (Initial Record) August 08, 2014

Recorded as MICHAEL KANTAR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2014

Dietitian, Registered (license number reported to NPPES: PA DN004579)

🟒
Initial NPI Registration & Enumeration August 08, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912316498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2014
Last Update: December 22, 2022
Sole Proprietor: No

Mailing Address

200 Mercy Circle, Apartment 2

Camp Pendleton, CA 92055

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.