Active NPI
Juan Calderon
- Prevention Professional
- Whittier, CA
National Provider Identifier
1922548189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- OTA3455
- Practice address
- 6418 Milna Ave
Whittier, CA 90606-1227 - Phone
- (562) 205-7738
- NPI assigned
- Mar 6, 2017
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | OTA3455 | CA | Primary |
Addresses
Primary practice location
6418 Milna Ave
Whittier, CA 90606-1227
Mailing address
6418 Milna Ave
Whittier, CA 90606-1227
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 |
|---|---|---|---|
| OTA3455 | CA | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1922548189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6418 MILNA AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906061227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6418 MILNA AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906061227",
"telephone_number": "562-205-7738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "JUAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-06",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "CA",
"license": "OTA3455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.