Active NPI
Aaron Calderon, OTD, OTR/L
- Occupational Therapist
- Santa Rosa, CA
National Provider Identifier
1013522549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21590
- Practice address
- 3751 Montgomery Dr
Santa Rosa, CA 95405-5214 - Phone
- (707) 525-1250
- NPI assigned
- Sep 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21590 | CA | Primary |
Addresses
Primary practice location
3751 Montgomery Dr
Santa Rosa, CA 95405-5214
Mailing address
921 Hyland Dr
Santa Rosa, CA 95404-2229
Phone (206) 816-4253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21590 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1013522549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 HYLAND DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954042229",
"telephone_number": "206-816-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954055214",
"telephone_number": "707-525-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "AARON",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-11",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.