Organization Active NPI

Travis H Calvin Jr MD

  • Neurological Surgery Physician
  • El Centro, CA
National Provider Identifier
1700055472
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C21462 Issued in CA
Legal business name
TRAVIS H CALVIN JR MD
Practice address
1505 Ross Ave
El Centro, CA 92243-3730
Phone
(760) 353-1720
NPI assigned
Feb 26, 2008
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Peggy Calvin
Title
Office Manager
Phone
(760) 353-1720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X C21462 CA Primary

Addresses

Primary practice location

1505 Ross Ave
El Centro, CA 92243-3730

Mailing address

1505 Ross Ave
El Centro, CA 92243-3730
Phone (760) 353-1720

National Provider Directory

National Provider Directory

Locations

1505 Ross Ave
El Centro, CA 92243
Phone (619) 353-1720

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1700055472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433730",
            "telephone_number": "760-353-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433730",
            "telephone_number": "760-353-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS H CALVIN JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "CALVIN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-353-1720"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C21462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.