Individual provider Active NPI

Angelo Lorenzo Calinga

  • Student in an Organized Health Care Education/Training Program
  • Portland, OR
National Provider Identifier
1114758232
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
217 NE 146TH Ave Apt 6
Portland, OR 97230-4265
Phone
(510) 305-1516
NPI assigned
Aug 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

217 NE 146TH Ave Apt 6
Portland, OR 97230-4265

Mailing address

217 NE 146TH Ave Apt 6
Portland, OR 97230-4265
Phone (510) 305-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717003859 OR Order and Referring Only - Family PracticePractitioner - Family Practice 5597271528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: acalinga195215@direct.ohsu.edu

NPI Registry JSON

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1114758232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 NE 146TH AVE APT 6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972304265",
            "telephone_number": "510-305-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 NE 146TH AVE APT 6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972304265",
            "telephone_number": "510-305-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALINGA",
        "first_name": "ANGELO LORENZO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.