Individual provider Active NPI

Charissa Olson Caldera, M.D.

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1932359858
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
16761 Issued in NV
Practice address
1707 W Charleston Blvd Ste 120
Las Vegas, NV 89102-2352
Phone
(702) 671-2312
NPI assigned
Sep 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 16761 NV Primary

Addresses

Primary practice location

1707 W Charleston Blvd Ste 120
Las Vegas, NV 89102-2352

Mailing address

1707 W Charleston Blvd Ste 120
Las Vegas, NV 89102-2352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20170202002248 NV Practitioner - Obstetrics/Gynecology 4082933528 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16761NVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Womens Hospitalists - Storey PLLC Obstetrics & Gynecology CurrentSince Oct 8, 2023 Accepting new patients

Locations

8285 W Arby Ave
Ste 280
Las Vegas, NV 89113
Phone (702) 577-1622

8906 Spanish Ridge Ave
Ste 202
Las Vegas, NV 89148
Phone (702) 330-3102

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.

NPI Registry JSON

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

{
    "created_epoch": "1222560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1932359858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 W CHARLESTON BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W CHARLESTON BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022352",
            "telephone_number": "702-671-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON CALDERA",
        "first_name": "CHARISSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-28",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "16761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.