Calderon Medicine, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

CALDERON MEDICINE, LLC

Practice address

574 SW Indian Key Dr
Port Saint Lucie, FL 34986-2051

Phone

(772) 202-2117

Fax

(772) 742-5527

NPI assigned

Oct 20, 2026

Last updated

Oct 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alston Bryan Calderon, PA-C, MSPAPNPI 1023607819

Title

Psychiatric PA-C, Founder & Ceo

Phone

(772) 202-2117

Specialties & licenses 1

Addresses

Other names 1

• Calderon Medicine Concierge Mental Health Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alston Bryan Calderon, PA-C, MSPAP

  • Physician Assistant
  • Jensen Beach, FL
  • NPI 1023607819
  Authorized official Same address or phone

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1376440891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 NE JENSEN BEACH BLVD UNIT 1143",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349577212",
            "telephone_number": "772-202-2117",
            "fax_number": "772-742-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 SW INDIAN KEY DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862051",
            "telephone_number": "772-202-2117",
            "fax_number": "772-742-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDERON MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "ALSTON",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PSYCHIATRIC PA-C, FOUNDER & CEO",
        "authorized_official_telephone_number": "772-202-2117",
        "authorized_official_credential": "PA-C, MSPAP"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calderon Medicine Concierge Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physician Assistant in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.