Dr Ethan Abraham Canty, MD is a medicare enrolled "Allergy & Immunology" physician in Chula Vista, California. He went to Pennsylvania State University College Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Pediatric Medicine. His current practice location is
910 Hale Pl Ste 110, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at
(619) 704-7577.
Dr Ethan Abraham Canty is licensed to practice in California (license number A185856) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1790312536.
Physician's Profile
| Full Name | Dr Ethan Abraham Canty |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 6 Years |
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| Location | 910 Hale Pl Ste 110, Chula Vista, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ethan Abraham Canty attended and graduated from Pennsylvania State University College Of Medicine in 2020
NPI Data:
- NPI Number: 1790312536
- Provider Enumeration Date: 03/23/2020
- Last Update Date: 02/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 6305269754
- Enrollment ID: I20250717004170
Medical Identifiers
Medical identifiers for Dr Ethan Abraham Canty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790312536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | A185856 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | 185856 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ethan Abraham Canty is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ethan Abraham Canty, MD
910 Hale Pl Ste 110,
Chula Vista, CA 91914-3598
Ph: (619) 704-7577 | Dr Ethan Abraham Canty, MD
910 Hale Pl Ste 110,
Chula Vista, CA 91914-3598
Ph: (619) 704-7577 |
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