Active NPI
Calzada Primary Care, PA
- Primary Care Clinic/Center
- Pembroke Pines, FL
National Provider Identifier
1225301013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CALZADA PRIMARY CARE, PA
- Practice address
- 2301 N University Dr Ste 108
Pembroke Pines, FL 33024-3617 - Phone
- (954) 987-4900
- Fax
- (954) 987-4922
- NPI assigned
- Feb 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pablo J Calzada, D.O.
- Title
- President
- Phone
- (954) 987-4900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2301 N University Dr Ste 108
Pembroke Pines, FL 33024-3617
Mailing address
2301 N University Dr Ste 108
Pembroke Pines, FL 33024-3617
Phone (954) 987-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104374600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Pembroke Pines, FL
- NPI 1528007887
-
- General Practice Registered Nurse
- Pembroke Pines, FL
- NPI 1508692914
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1396932216
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1093923849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1225301013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 N UNIVERSITY DR STE 108",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243617",
"telephone_number": "954-987-4900",
"fax_number": "954-987-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 N UNIVERSITY DR STE 108",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243617",
"telephone_number": "954-987-4900",
"fax_number": "954-987-4922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALZADA PRIMARY CARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-09",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "CALZADA",
"authorized_official_first_name": "PABLO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-987-4900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104374600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.