NPIMap

Individual provider Active NPI

Stanley Calderwood, MD

  • Pediatrics Physician
  • Lamont, CA
National Provider Identifier
1538112149
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A73264 Issued in CA
Practice address
8787 Hall Rd
Lamont, CA 93241-1953
Phone
(661) 845-3731
Fax
(661) 845-1157
NPI assigned
May 18, 2006
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A73264 CA Primary
Pediatric Hematology & Oncology Physician 2080P0207X A73264 CA
Pediatric Hematology & Oncology Physician 2080P0207X 25MA08711900 NJ

Addresses

Primary practice location

8787 Hall Rd
Lamont, CA 93241-1953

Mailing address

8787 Hall Rd
Lamont, CA 93241-1953
Phone (661) 845-3731

Other identifiers 1

IdentifierTypeStateIssuer
00A732640OtherCAMEDI-CAL PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031121000876 CA Practitioner - Pediatric Medicine 9436053360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

8787 Hall Rd
Lamont, CA 93241-1953
Phone (661) 845-3731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A73264CAMDPediatric Hematology & Oncology Physician
73264CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Dec 2, 2024 Accepting new patients
Valley Children's Medical Group Pediatrics CurrentSince Jun 1, 2017 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Current Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp CurrentSince Jan 5, 2019 Accepting new patients
Clinica Sierra Vista CurrentSince Dec 2, 2024 Accepting new patients
Saint Peters University Hospital Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Janet Rustia Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Monmouth Medical Center Inc Past Accepting new patients
Universal Healthcare Services Inc. Past Accepting new patients
Pediatric Subspecialty Faculty, Inc. Pediatrics Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

8787 Hall Rd
Lamont, CA 93241
Phone (661) 845-3717

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1538112149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 HALL RD",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411953",
            "telephone_number": "661-845-3731",
            "fax_number": "661-845-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 HALL RD",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411953",
            "telephone_number": "661-845-3731",
            "fax_number": "661-845-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERWOOD",
        "first_name": "STANLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A73264",
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "A73264",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NJ",
            "license": "25MA08711900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER #",
            "identifier": "00A732640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamont, CA

Sources for this page

Verify at the official NPI Registry.