Alexis Calderon, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95030275 Issued in CA

Practice address

707 Emily LN
Beaumont, CA 92223-6410

Phone

(909) 528-2756

NPI assigned

Jun 7, 2024

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1689416018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 EMILY LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922236410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 EMILY LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922236410",
            "telephone_number": "909-528-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "ALEXIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95030275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mae Buenafe
• Henry Burciaga, MFT
• Melanie Burmeister, LVN
• Latanya Arlecia Busby, PSYCHOLOGIST
• C.H.a.R.L.E.E. Family Care, Inc.
• Brittany Ann Calderon, DDS
• Zorelis Camacho
• Shay Andrea Campanelli
• Canyoncare Transport
• Monica Lynn Carlson

• Nurse Practitioner in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.