Individual provider Active NPI

Carlos L Calderon, MD

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1346820610
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A187500 Issued in CA
Practice address
1043 Elm Ave Ste 302
Long Beach, CA 90813-3295
Phone
(562) 247-7740
Fax
(562) 432-5122
NPI assigned
Apr 12, 2021
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A187500 CA Primary

Addresses

Primary practice location

1043 Elm Ave Ste 302
Long Beach, CA 90813-3295

Mailing address

611 S Kingsley Dr
Los Angeles, CA 90005-2319
Phone (213) 201-5077

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604002234 CA Practitioner - Family Practice 3375085541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Apla Health and WellnessGroup PAC ID 4385875236, shared by 9 NPIs, 11 clinicians
County of RiversideGroup PAC ID 6507754488, 190 clinicians

Practice addresses (Care Compare)

1043 Elm Ave
Suite 302
Long Beach, CA 90813-3295
Phone (562) 432-7300

7140 Indiana Ave
Riverside, CA 92504-4544
Phone (951) 358-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A187500CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Current Accepting new patients
County of Riverside CurrentSince Jul 1, 2024 Accepting new patients
County of Riverside CurrentSince Jul 1, 2024 Accepting new patients

Locations

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

7140 Indiana Ave
Riverside, CA 92504
Phone (909) 358-6035

Interoperability endpoints

  • Direct secure messaging: ccalderon371880@direct.llu.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1346820610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S KINGSLEY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052319",
            "telephone_number": "213-201-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 302",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133295",
            "telephone_number": "562-247-7740",
            "fax_number": "562-432-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "CARLOS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A187500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.