Active NPI
John Calderon, CAODC
- Professional Counselor
- Fresno, CA
National Provider Identifier
1780923813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CADDTP 1265
- Practice address
- 1803 Broadway St
Fresno, CA 93721-1047 - Phone
- (559) 268-6480
- Fax
- (559) 237-5122
- NPI assigned
- Feb 8, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CADDTP 1265 | CA | Primary |
Addresses
Primary practice location
1803 Broadway St
Fresno, CA 93721-1047
Mailing address
1803 Broadway St
Fresno, CA 93721-1047
Phone (559) 268-6480
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CADDTP 1265 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno County Hispanic Commission | 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.
-
- Substance Abuse Rehabilitation Facility
- Fresno, CA
- NPI 1245319961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1780923813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 BROADWAY ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211047",
"telephone_number": "559-268-6480",
"fax_number": "559-237-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 BROADWAY ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211047",
"telephone_number": "559-268-6480",
"fax_number": "559-237-5122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "CAODC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-08",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "CADDTP 1265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.