Active NPI
Walter H Calderon
- Home Health Aide
- Fullerton, CA
National Provider Identifier
1023883188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1001 Starbuck St Apt M206
Fullerton, CA 92833-5709 - Phone
- (949) 891-3455
- NPI assigned
- Nov 20, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Y3313761 | CA | |
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1001 Starbuck St Apt M206
Fullerton, CA 92833-5709
Mailing address
1001 Starbuck St Apt M206
Fullerton, CA 92833-5709
Phone (949) 891-3455
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Y3313761 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703980800000",
"number": "1023883188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 STARBUCK ST APT M206",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928335709",
"telephone_number": "949-891-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 STARBUCK ST APT M206",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928335709",
"telephone_number": "949-891-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "WALTER",
"middle_name": "H",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2023-12-31",
"certification_date": "2023-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "Y3313761",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.