Juan Raphael Caldera, PHD, D(ABMM)

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

MTA00044966 Issued in CA

Practice address

33608 Ortega Hwy
San Juan Capistrano, CA 92675-2042

Phone

(949) 728-4880

NPI assigned

Jun 6, 2022

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

Other names 1

• Dr. Jr Caldera Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1588393755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7970 MISSION CENTER CT UNIT L",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081463",
            "telephone_number": "626-864-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33608 ORTEGA HWY",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752042",
            "telephone_number": "949-728-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERA",
        "first_name": "JUAN RAPHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD, D(ABMM)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Microbiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "CA",
            "license": "MTA00044966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JR",
            "last_name": "CALDERA",
            "prefix": "DR.",
            "credential": "PHD, D(ABMM)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arpie Broussard, CMT, HHP
• Kaelin Anthony Brown, AGACNP
• Michelle G Bryant, MASSAGE THERAPIST
• Alina Burkholder
• Dana Caballero, LCSW
• Kaitlyn Calhoun
• California Care Detox & Treatment (California Care Mental Health)
• California Physical Therapy Providers, Inc.
• California Rehabilitation & Sports Therapy a California Physical Ther (Cal Rehab - San Juan Capistrano)
• California Shores Inc. (Adagio San Juan)

• Medical Technologist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Medical Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.