Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Abraham Canty, MD

Individual provider Pediatrics Physician · NPI 1790312536

Dr. Ethan Abraham Canty, MD is a Pediatric Medicine in San Diego, California. Graduated from Pennsylvania State University College of Medicine in 2020, 6 years ago. Practices with Modena Allergy and Asthma II Inc, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
Pennsylvania State University College of Medicine
Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5776 Ruffin Rd
San Diego, CA 92123-1013
Phone: (858) 966-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence A185856 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A185856 (CA)

Record details

NPI number1790312536
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesALLERGY/IMMUNOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Modena Allergy And Asthma Ii Inc. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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