Individual provider Active NPI

Devon Cole Calloway, B.S

  • Case Manager/Care Coordinator
  • San Diego, CA
National Provider Identifier
1437960515
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1545 Hotel Cir S Ste 275
San Diego, CA 92108-3429
Phone
(661) 618-6280
NPI assigned
Jan 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1545 Hotel Cir S Ste 275
San Diego, CA 92108-3429

Mailing address

2847 Monarch St
San Diego, CA 92123-3239
Phone (818) 515-4776

Other practice location 1

44349 Lowtree Ave Ste 111
Lancaster, CA 93534-4104
Phone (661) 228-0567

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
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Changing the Cycle 2 Licensed Clinical Social Worker, Inc. PastSince Oct 20, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1437960515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 MONARCH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233239",
            "telephone_number": "818-515-4776",
            "fax_number": "205-509-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HOTEL CIR S STE 275",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083429",
            "telephone_number": "661-618-6280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44349 Lowtree Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344104",
            "country_code": "US",
            "telephone_number": "661-228-0567",
            "fax_number": "205-509-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLOWAY",
        "first_name": "DEVON",
        "middle_name": "COLE",
        "credential": "B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.