John Rendell Saulog Caldejon

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

884594 Issued in NV

Practice address

9198 Desert Heat Ave
Las Vegas, NV 89178-6218

Phone

(702) 688-0022

NPI assigned

Aug 22, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dynamic Medical Group LLCGroup PAC ID 1153856158, 5 clinicians

Ares House Calls LLCGroup PAC ID 1052763018, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Dynamic Medical Group LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1841988136

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Ares House Calls LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1265204887
  Medicare reassignment Care Compare group
• Beautiful Mind of Las Vegas LLC

  dba Beautiful Mind

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1356940639
  NPD

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1568295954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9198 DESERT HEAT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891786218",
            "telephone_number": "702-688-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9198 DESERT HEAT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891786218",
            "telephone_number": "702-688-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDEJON",
        "first_name": "JOHN RENDELL",
        "middle_name": "SAULOG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN67997",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NV",
            "license": "RN67997",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "884594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keiarr Calbert
• Yolanda Calbert
• Mary Calcetas
• Aileen Calcines Rodriguez
• Diana Catalina Caldas, MS
• Calder Rehabilitation LLC
• Amy Taylor Calder, M.S., CCC-SLP
• Charles T Calder, DDS MD
• Craig W. Calder, D.C.
• Alberto Caldera

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.