Active NPI
Fedra Calderon
- Counselor
- Garden Grove, CA
National Provider Identifier
1487744538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 7281 Garden Grove Blvd Ste H
Garden Grove, CA 92841-4212 - Phone
- (714) 539-4544
- Fax
- (714) 893-8625
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CA | Primary |
Addresses
Primary practice location
7281 Garden Grove Blvd Ste H
Garden Grove, CA 92841-4212
Mailing address
1324 S Spruce St
Montebello, CA 90640-6466
Phone (714) 539-4544
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1487744538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 S SPRUCE ST",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906406466",
"telephone_number": "714-539-4544",
"fax_number": "714-893-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7281 GARDEN GROVE BLVD STE H",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928414212",
"telephone_number": "714-539-4544",
"fax_number": "714-893-8625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "FEDRA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.