Ana Lizeth Calixto

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116581 Issued in FL

Practice address

12309 Pembroke Rd
Pembroke Pines, FL 33025-1723

Phone

(954) 432-6595

NPI assigned

Nov 11, 2022

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Matthew Taub MD PA

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1992007496
  Medicare reassignment

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1174231799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21190 SW 234TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330311044",
            "telephone_number": "786-416-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251723",
            "telephone_number": "954-432-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIXTO",
        "first_name": "ANA",
        "middle_name": "LIZETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Calderin, M.A.
• Lisette Margarita Calderon Bach
• Cindy Love Calderon
• Daniela Calderon, SLPA
• Elsimar Calderon
• Amanda Sofia Callejas
• Calm Medical Inc.
• Brook Anne Calton, MD
• Calzada Primary Care, PA
• Pablo Jose Calzada, D.O.

• Physician Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.