Organization Active NPI

Juan M. Calderon, MD Apc

  • Endocrinology, Diabetes & Metabolism Physician
  • Chula Vista, CA
National Provider Identifier
1609002641
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A36093 Issued in CA
Legal business name
JUAN M. CALDERON, MD APC
Practice address
340 4TH Ave Ste 12
Chula Vista, CA 91910-3813
Phone
(619) 427-4426
Fax
(619) 427-8208
NPI assigned
Jun 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Authorized official

Name
Dr. Juan M Calderon, M.D.
Title
Owner
Phone
(619) 427-4426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X A36093 CA Primary

Addresses

Primary practice location

340 4TH Ave Ste 12
Chula Vista, CA 91910-3813

Mailing address

340 4TH Ave Ste 12
Chula Vista, CA 91910-3813
Phone (619) 427-4426

Other names 1

  • JUAN M. CALDERON, MD APC Doing business as

National Provider Directory

National Provider Directory

Locations

340 Fourth Ave
Ste 12
Chula Vista, CA 91910
Phone (619) 425-5559

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1609002641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 4TH AVE STE 12",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103813",
            "telephone_number": "619-427-4426",
            "fax_number": "619-427-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 4TH AVE STE 12",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103813",
            "telephone_number": "619-427-4426",
            "fax_number": "619-427-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN M. CALDERON, MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-427-4426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A36093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUAN M. CALDERON, MD APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.