Individual provider Active NPI

Laura Calderon, MD

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1568536159
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A94485 Issued in CA
Practice address
1441 Florida Ave
Modesto, CA 95350-4404
Phone
(209) 576-3525
Fax
(209) 576-3544
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A94485 CA Primary

Addresses

Primary practice location

1441 Florida Ave
Modesto, CA 95350-4404

Mailing address

1700 McHenry Ave Ste 65B
Modesto, CA 95350-4333
Phone (209) 576-3525

Other practice location 1

825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 669-4655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000646 CA Practitioner - Internal Medicine 2769484724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalists of Modesto Medical Group IncGroup PAC ID 2567360027, 87 clinicians

Practice addresses (Care Compare)

1441 Florida Ave
Modesto, CA 95350-4405
Phone (209) 576-3525

Hospital & facility affiliations

  • Lifeguard Hospice Care, Inc Hospice, Pleasanton, CA, CCN 751616
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179
  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94485CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Partners of California West P C Internal Medicine CurrentSince Jul 5, 2022 Accepting new patients
Hospitalists of Modesto Medical Group Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients

Locations

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1568536159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MCHENRY AVE STE 65B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504333",
            "telephone_number": "209-576-3525",
            "fax_number": "209-576-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504404",
            "telephone_number": "209-576-3525",
            "fax_number": "209-576-3544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Delbon Ave",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953822016",
            "country_code": "US",
            "telephone_number": "209-669-4655",
            "fax_number": "209-669-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.