John Mar Angeles Calma, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00022859 Issued in WA

Practice address

16825 48TH Ave W Ste 226
Lynnwood, WA 98037-6404

Phone

(425) 346-8828

Fax

(425) 512-8070

NPI assigned

Mar 6, 2008

Last updated

Nov 5, 2019By 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

State licenses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1518137587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11716 7TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085573",
            "telephone_number": "425-346-8288",
            "fax_number": "425-512-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16825 48TH AVE W STE 226",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980376404",
            "telephone_number": "425-346-8828",
            "fax_number": "425-512-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALMA",
        "first_name": "JOHN MAR",
        "middle_name": "ANGELES",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00022859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.