NPIMap

Individual provider Active NPI

Jonathan Calder, M.D.

  • Emergency Medicine Physician
  • Crownpoint, NM
National Provider Identifier
1104856640
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M-12484 Issued in ID
Practice address
Junction Navajo Route 9, Highway 371
Crownpoint, NM 87313-0358
Phone
(505) 786-5291
Fax
(505) 786-6440
NPI assigned
Jul 3, 2006
Last updated
Sep 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C53578 CA
Emergency Medicine Physician 207P00000X MD181900 OR
Family Medicine Physician 207Q00000X NM-2001-146 NM
Emergency Medicine Physician 207P00000X M-12484 ID Primary

Addresses

Primary practice location

Junction Navajo Route 9, Highway 371
Crownpoint, NM 87313-0358

Mailing address

PO Box 358
Crownpoint, NM 87313-0358
Phone (505) 786-5291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID, OR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090602000513 CA Practitioner - Emergency MedicinePractitioner - Family Practice 4789734302 Reassigns benefits to 1 organization
I20140923002104 ID Practitioner - Emergency MedicinePractitioner - Family Practice 4789734302 Reassigns benefits to 1 organization
I20170921002320 OR Practitioner - Emergency Medicine 4789734302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Wisconsin School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C53578CAMDEmergency Medicine Physician
NM-2001-146NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 3, 2017 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients

Locations

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 367-6416

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

Interoperability endpoints

  • Direct secure messaging: jcalder1563878@direct.trinity-health.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1104856640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "CROWNPOINT",
            "state": "NM",
            "postal_code": "873130358",
            "telephone_number": "505-786-5291",
            "fax_number": "505-786-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JUNCTION NAVAJO ROUTE 9, HIGHWAY 371",
            "city": "CROWNPOINT",
            "state": "NM",
            "postal_code": "873130358",
            "telephone_number": "505-786-5291",
            "fax_number": "505-786-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C53578",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD181900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "NM-2001-146",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-12484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crownpoint, NM

Sources for this page

Verify at the official NPI Registry.