Active NPI
J Angel Calderon
- Rehabilitation Counselor
- Oroville, CA
National Provider Identifier
1427112564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- C0411260849
- Practice address
- 18 County Center Drive
Oroville, CA 95965 - Phone
- (530) 538-7705
- Fax
- (530) 538-2161
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | C0411260849 | CA | Primary |
Addresses
Primary practice location
18 County Center Drive
Oroville, CA 95965
Mailing address
375 Idaho St
Gridley, CA 95948
Phone (530) 846-3819
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0411260849 | CA | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427112564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 IDAHO ST",
"city": "GRIDLEY",
"state": "CA",
"postal_code": "95948",
"telephone_number": "530-846-3819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 COUNTY CENTER DRIVE",
"city": "OROVILLE",
"state": "CA",
"postal_code": "95965",
"telephone_number": "530-538-7705",
"fax_number": "530-538-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "J",
"middle_name": "ANGEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "CA",
"license": "C0411260849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.