Fabian T Calderon, CPO, LPO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

604 Issued in TX

Practice address

3901 Montana Ave Ste C
El Paso, TX 79903-4507

Phone

(915) 566-3440

Fax

(915) 566-1485

NPI assigned

May 8, 2006

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Custom Orthotics & Prosthetics, LP

  • Orthotist
  • El Paso, TX
  • NPI 1255417929
  NPD

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1396794459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 CASTILLO CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321848",
            "telephone_number": "915-241-2115",
            "fax_number": "915-566-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MONTANA AVE STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034507",
            "telephone_number": "915-566-3440",
            "fax_number": "915-566-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "FABIAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "CPO, LPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "604",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "604",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Calderon Martinez, MD
• Tricia Leann Calderon Urban
• Caitlin A Calderon
• Christopher Calderon
• Erick Calderon
• Jeremy Ray Calderon
• Jose Gerardo Calderon, D.O.
• Jose Luis Calderon, PA-C
• Karin Lisbeth Calderon, DDS
• Loretta Gutierrez Calderon

• Orthotist in El Paso, TX
• Providers in El Paso, TX by specialty
• Orthotist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.