Active NPI
Priscilla Angelina Calvillo, CWC1
- Health & Wellness Coach
- Esparto, CA
National Provider Identifier
1104707827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 810709D2AF
- Practice address
- 26675 Plainfield St
Esparto, CA 95627-2192 - Phone
- (530) 787-3446
- NPI assigned
- Sep 9, 2025
- Last updated
- Sep 9, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 810709D2AF | CA | Primary |
Addresses
Primary practice location
26675 Plainfield St
Esparto, CA 95627-2192
Mailing address
26675 Plainfield St
Esparto, CA 95627-2192
Phone (530) 787-3446
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 |
|---|---|---|---|
| 810709D2AF | CA | MD | Health & Wellness Coach |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esparto Unified School District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Esparto, CA
- NPI 1174885206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1104707827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26675 PLAINFIELD ST",
"city": "ESPARTO",
"state": "CA",
"postal_code": "956272192",
"telephone_number": "530-787-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26675 PLAINFIELD ST",
"city": "ESPARTO",
"state": "CA",
"postal_code": "956272192",
"telephone_number": "530-787-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVILLO",
"first_name": "PRISCILLA",
"middle_name": "ANGELINA",
"name_prefix": "Miss",
"credential": "CWC1",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "CA",
"license": "810709D2AF",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Esparto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.