Shawn Calavaza

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Practice address

929 Henrietta Dr
Gallup, NM 87301-5441

Phone

(505) 977-7579

NPI assigned

Jun 5, 2025

Last updated

Jun 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Enchantment Home Healthcare, LLC

  dba Enchantment Home Healthcare

  • Home Health Agency
  • Gallup, NM
  • NPI 1174319479
  NPD Authorized official
• Triton Medical Supply, LLC

  • Oxygen Equipment & Supplies (DME)
  • Gallup, NM
  • NPI 1578457453
  NPD Authorized official

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1356235238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8028",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871988028",
            "telephone_number": "505-977-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 HENRIETTA DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015441",
            "telephone_number": "505-977-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAVAZA",
        "first_name": "SHAWN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlon Caballero, RN, BSN
• Lorraine Amanda Cabrillas, RN
• Cactus Medical Transit
• Michael Cadieux, DDS
• William Bruce Cage
• Michael Dwayne Calhoun
• James Joseph Campbell, M.D.
• Rosie Campbell, RN
• Andrea R Campos, RN
• Dominic Jacob Campos Jr., LMT

• Oxygen Equipment & Supplies (DME) in Gallup, NM
• Providers in Gallup, NM by specialty
• Oxygen Equipment & Supplies (DME) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.