Active NPI
Juan Calderon-Aguirre, M.S.S.A
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1932414562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4080 Centre St Ste 105
San Diego, CA 92103-2655 - Phone
- (619) 955-9902
- NPI assigned
- Aug 6, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4080 Centre St Ste 105
San Diego, CA 92103-2655
Mailing address
4643 Wilson Ave Apt 5
San Diego, CA 92116-3577
Phone (619) 808-4477
Other practice location 1
3665 Kearny Villa Rd Ste 165
San Diego, CA 92123-1954
Phone (858) 966-8471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932414562 | Other | CA | NPPES |
Other names 1
- Juan Manuel Calderon
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growthwell Counseling | 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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1104360965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1932414562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4643 WILSON AVE APT 5",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921163577",
"telephone_number": "619-808-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 CENTRE ST STE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032655",
"telephone_number": "619-955-9902"
}
],
"practiceLocations": [
{
"address_1": "3665 Kearny Villa Rd Ste 165",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231954",
"country_code": "US",
"telephone_number": "858-966-8471",
"fax_number": "858-966-8470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDERON-AGUIRRE",
"first_name": "JUAN",
"name_prefix": "Mr.",
"credential": "M.S.S.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-06",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1932414562",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUAN",
"last_name": "CALDERON",
"middle_name": "MANUEL",
"credential": "M.S.S.A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.