Individual provider Active NPI

Amber Calderon, PT

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1043457708
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35105 Issued in CA
Practice address
19582 Beach Blvd Ste 130
Huntington Beach, CA 92648-5924
Phone
(714) 841-6162
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT35105 CA Primary

Addresses

Primary practice location

19582 Beach Blvd Ste 130
Huntington Beach, CA 92648-5924

Mailing address

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (909) 353-2000

Other practice location 1

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (909) 353-2000

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL HB
Other URL HB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000450 CA Practitioner - Physical Therapist in Private Practice 4486803061 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

6070 Avenida Encinas
Suite 100
Carlsbad, CA 92011-1001
Phone (760) 444-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT35105CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Xcelerate Physical Therapy Inc. Physical Therapist CurrentSince Aug 20, 2012 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Huntington Beach Physical Therapy Specialist a Professional Corp Physical Therapist CurrentSince Sep 1, 2016 Accepting new patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Jan 9, 2024 Accepting new patients

Locations

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

16897 Algonquin St
Ste 101
Huntington Beach, CA 92649
Phone (714) 475-2226

26522 La Alameda
Ste 100
Mission Viejo, CA 92691
Phone (949) 582-2555

144 W Los Angeles Ave
Ste 110
Moorpark, CA 93021
Phone (805) 374-9900

2345 E 8th St
Ste 106
National City, CA 91950
Phone (619) 323-2040

1005 Pacific Coast Hwy
#A2
Seal Beach, CA 90740
Phone (562) 598-5500

3262 E Thousand Oaks Blvd
Ste 100
Thousand Oaks, CA 91362
Phone (805) 374-9900

15000 Kensington Park Dr
Ste 110
Tustin, CA 92782
Phone (657) 859-6458

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1043457708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053043",
            "telephone_number": "909-353-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD STE 130",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485924",
            "telephone_number": "714-841-6162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053043",
            "country_code": "US",
            "telephone_number": "909-353-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "AMBER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT35105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HB",
            "affiliation": "N",
            "address_1": "19582 Beach Blvd Ste 130",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926485924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HB",
            "affiliation": "N",
            "address_1": "19582 Beach Blvd Ste 130",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926485924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.