Individual provider Active NPI

Robert T. Calvert, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Alpine, CA
National Provider Identifier
1922458298
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
20A23529 Issued in CA
Practice address
4058 Willows Rd
Alpine, CA 91901-1668
Phone
(619) 445-1188
NPI assigned
Jun 17, 2016
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12488444-1204 UT
Addiction Medicine (Family Medicine) Physician 207QA0401X 20A23529 CA Primary

Addresses

Primary practice location

4058 Willows Rd
Alpine, CA 91901-1668

Mailing address

4058 Willows Rd
Alpine, CA 91901-1668
Phone (619) 445-1188

Other practice location 1

375 S Chipeta Way Ste A
Salt Lake City, UT 84108-1261
Phone (801) 587-3408

Other practice location 2

200 Mercy Circle
Box 555191
Camp Pendleton, CA 92055
Phone (760) 719-3675

Other names 1

  • Robbie Calvert Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702002867 TX Practitioner - Family Practice 7517364714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Indian Health CouncilGroup PAC ID 9830221449, 18 clinicians

Practice addresses (Care Compare)

4058 Willows Rd
Alpine, CA 91901-1668
Phone (619) 445-1188

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A23529CAMDAddiction Medicine (Family Medicine) Physician
23529CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indian Health Council CurrentSince Jul 7, 2025 Accepting new patients
Southern Indian Health Council CurrentSince Jul 7, 2025 Accepting new patients
Southern Indian Health Council Current Accepting new patients

Locations

4058 Willows Rd
Alpine, CA 91901
Phone (619) 445-1188

36350 Church Rd
Campo, CA 91906
Phone (619) 445-1188

Interoperability endpoints

  • Direct secure messaging: robert.calvert.1@13794.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1922458298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 WILLOWS RD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919011668",
            "telephone_number": "619-445-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4058 WILLOWS RD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919011668",
            "telephone_number": "619-445-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 S Chipeta Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081261",
            "country_code": "US",
            "telephone_number": "801-587-3408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Mercy Circle",
            "address_2": "Box 555191",
            "address_purpose": "LOCATION",
            "city": "Camp Pendleton",
            "state": "CA",
            "postal_code": "92055",
            "country_code": "US",
            "telephone_number": "760-719-3675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "ROBERT",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12488444-1204",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "20A23529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBBIE",
            "last_name": "CALVERT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alpine, CA

Sources for this page

Verify at the official NPI Registry.