Active NPI
Jose Calera
- General Practice Physician
- Twentynine Palms, CA
National Provider Identifier
1295474674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 101287263
- Practice address
- 1546 6TH
Twentynine Palms, CA 92277 - Phone
- (760) 830-2542
- NPI assigned
- Jun 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 101287263 | VA | Primary |
Addresses
Primary practice location
1546 6TH
Twentynine Palms, CA 92277
Mailing address
56760 Ivanhoe Dr
Yucca Valley, CA 92284-4366
Phone (786) 999-9574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101287263 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1295474674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56760 IVANHOE DR",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922844366",
"telephone_number": "786-999-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1546 6TH",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92277",
"telephone_number": "760-830-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALERA",
"first_name": "JOSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-02",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "101287263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.