Elvie Victoria Mendoza Calderon, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95014322 Issued in CA

Practice address

6280 Jackson Dr Ste 8
San Diego, CA 92119-3436

Phone

(619) 752-0011

NPI assigned

Aug 1, 2022

Sex

Female

Sole proprietor

No

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 CA

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Victoria Care Center Nursing home, Ventura, CA, CCN 555478
• Glenwood Care Center Nursing home, Oxnard, CA, CCN 555458

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23551/brand/1/csg/1/fhir/r4
• Direct secure messaging: elvie.victoria.mendoza-calderon.1@23551.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myndfull Care Management California PC

  • Clinic/Center
  • San Diego, CA
  • NPI 1770206435
  Medicare reassignment NPD
• Vinod K Valiveti M D Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Thousand Oaks, CA
  • NPI 1245263664
  Medicare reassignment NPD

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

• C Street Health Associates LLC

  • Skilled Nursing Facility
  • Oxnard, CA
  • NPI 1619976131

  Nursing home

  Care Compare affiliation
• Victoria Ventura Healthcare LLC

  • Skilled Nursing Facility
  • Ventura, CA
  • NPI 1427057645

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1295462265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR STE 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR STE 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-752-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "ELVIE VICTORIA",
        "middle_name": "MENDOZA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95014322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Calderon-Mendenhall, LMFT
• Adrian Calderon, PSY.D.
• Ariel E Calderon, IDC
• Daniela Calderon, APCC
• Edgar Calderon, RD
• Liliana Calderon
• Lillian Marie Calderon
• Lizeth Calderon
• Luis Calderon
• Margarita Calderon

• Adult Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.