Individual provider Active NPI

Juan Carlos Calzetta, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Salinas, CA
National Provider Identifier
1427034685
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
C40652 Issued in CA
Practice address
770 E Romie LN
Suite D
Salinas, CA 93901-4222
Phone
(831) 422-8808
Fax
(831) 422-9780
NPI assigned
Dec 20, 2005
Last updated
Nov 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C40652 CA Primary

Addresses

Primary practice location

770 E Romie LN
Suite D
Salinas, CA 93901-4222

Mailing address

770 E Romie LN
Suite D
Salinas, CA 93901-4222
Phone (831) 422-8808

Other identifiers 1

IdentifierTypeStateIssuer
00C406520MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C40652CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1427034685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E ROMIE LN",
            "address_2": "SUITE D",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014222",
            "telephone_number": "831-422-8808",
            "fax_number": "831-422-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E ROMIE LN",
            "address_2": "SUITE D",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014222",
            "telephone_number": "831-422-8808",
            "fax_number": "831-422-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALZETTA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C40652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C406520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.