Lidia R Calderon

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

828 W Ventura St Ste 240
Fillmore, CA 93015-1882

Phone

(805) 524-8660

Fax

(805) 524-8655

NPI assigned

Aug 6, 2024

Last updated

Apr 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1942030655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S SATICOY AVE APT 24",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041853",
            "telephone_number": "805-901-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 W VENTURA ST STE 240",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151882",
            "telephone_number": "805-524-8660",
            "fax_number": "805-524-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 E Main St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Santa Paula",
            "state": "CA",
            "postal_code": "930602748",
            "country_code": "US",
            "telephone_number": "805-933-8440",
            "fax_number": "805-933-0057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "LIDIA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia J Breckenridge, M.D.
• Kelly Lynn Brooks, PA-C
• Michelle Denise Brown, RNC, WHCNP, PMHNP
• Logan K. Bundy, M.D.
• Stephanie L Cadman, FNP
• Jesus Cardenas
• Jose Fernando Caudillo
• Christine Marie Johnston MD Inc
• Clinicas del Camino Real Inc (Clinicas del Camino Real Inc Fillmore)
• Community Memorial Health System

• Rehabilitation Practitioner in Fillmore, CA
• Providers in Fillmore, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.