Active NPI
Tara Calderon
- Physical Therapist
- Burbank, CA
National Provider Identifier
1649690926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 34732
- Practice address
- 2211 W Magnolia Blvd
Suite 160
Burbank, CA 91506-1753 - Phone
- (818) 876-4195
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 34732 | CA | Primary |
Addresses
Primary practice location
2211 W Magnolia Blvd
Suite 160
Burbank, CA 91506-1753
Mailing address
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (818) 875-1050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34732 | CA | MD | Social Worker |
| PT 34732 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1649690926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "SUITE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "818-875-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 W MAGNOLIA BLVD",
"address_2": "SUITE 160",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061753",
"telephone_number": "818-876-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-24",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 34732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.