Calvin Colarusso, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

C28845 Issued in CA

Practice address

1020 Prospect St
Suite 415
La Jolla, CA 92037-0068

Phone

(858) 454-2473

Fax

(858) 454-4192

NPI assigned

Feb 6, 2014

Last updated

Feb 6, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1457775850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PROSPECT ST",
            "address_2": "SUITE 415",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370068",
            "telephone_number": "858-454-2473",
            "fax_number": "858-454-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PROSPECT ST",
            "address_2": "SUITE 415",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370068",
            "telephone_number": "858-454-2473",
            "fax_number": "858-454-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLARUSSO",
        "first_name": "CALVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C28845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Steven Cohen, M.D.
• Heather McCracken Cohen, MPH, RD
• Penny Lynn Cohen, M.A., CCC
• Robyn Grossman Cohen, MD
• Clinton Gilbert Colaco, MD
• Christine M. Cole, N.P.
• Kristen Anne Cole, PH.D.
• Tara Danielle Coleman, MA, OTRL, CAPS
• Nicholas Brian Coley, MD/PHD
• Daniel J. Collins, P.A.

• Child & Adolescent Psychiatry Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.