Travis H Calvin Jr., MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

C21462 Issued in CA

Practice address

1505 Ross Ave
1505 Ross Ave
El Centro, CA 92243-3730

Phone

(760) 353-1720

Fax

(760) 353-0460

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1437217049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 ROSS AVE",
            "address_2": "1505 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433730",
            "telephone_number": "760-353-1720",
            "fax_number": "760-353-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 ROSS AVE",
            "address_2": "1505 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433730",
            "telephone_number": "760-353-1720",
            "fax_number": "760-353-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVIN",
        "first_name": "TRAVIS",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C21462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0040250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nirvana Andrea Calderon Reyes
• California Dermatology Institute PC
• California Iop LLC
• California Orthopaedic Institute Medical Associates Inc
• Jose Angel Calles
• Abigail Camacho
• Claudia Camacho
• Julissa G Camacho
• Vanessa Marie Camarena
• Josefina Camarero

• Neurological Surgery Physician in El Centro, CA
• Providers in El Centro, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.