Marcelino S Calimlim Jr., M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A79537 Issued in CA

Practice address

15203 11TH St
Suite C
Victorville, CA 92395-3737

Phone

(760) 951-9985

Fax

(760) 952-3387

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marc S Calimlim Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Aspen Pediatric Clinic,Inc.

  • Clinic/Center
  • Victorville, CA
  • NPI 1538304134
  NPD (past) Authorized official
• Desert Valley Hospital, LLC

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1851396576
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1922032986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15203 11TH ST",
            "address_2": "SUITE C",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953737",
            "telephone_number": "760-951-9985",
            "fax_number": "760-952-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15203 11TH ST",
            "address_2": "SUITE C",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953737",
            "telephone_number": "760-951-9985",
            "fax_number": "760-952-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIMLIM",
        "first_name": "MARCELINO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A79537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARC",
            "last_name": "CALIMLIM",
            "middle_name": "S",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chad Cain
• Cajon Medical Group, PC
• Cal Choice Family Practice Inc
• Monserrat Calderon Ayala
• David S. Calhoun
• Angela Allison Caliri-Saucedo
• Mark Callahan, LMFT
• Jessica M Calles, ATC
• Calstro Hospice High Desert Inc
• Zachary Edward Calvert

• Primary Care Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.