Caleb Ammon Holmquist

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

16940 State Highway 14 Ste F
Mojave, CA 93501-1238

Phone

(626) 365-7100

NPI assigned

Jan 18, 2019

Last updated

Nov 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1497229835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16940 STATE HIGHWAY 14 STE F",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011238",
            "telephone_number": "661-824-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16940 STATE HIGHWAY 14 STE F",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011238",
            "telephone_number": "626-365-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMQUIST",
        "first_name": "CALEB",
        "middle_name": "AMMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina L Hall, LVN
• Sarah Hanlin
• Paul Anthony Hardin
• Shirley Margaret Heathman, FNP-C, PA-C
• Edward Amir Hillman
• Makasha Lavon Jeffers
• Bryan K Johnson
• Larraine Kember
• Leigh Ann Knight
• Tiffany Komba, MFT

• Case Manager/Care Coordinator in Mojave, CA
• Providers in Mojave, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.