Active NPI
Andrew Spedding Calciano, MD
- Dermatology Physician
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G66560
- Practice address
- 1661 Soquel Dr Ste E
Santa Cruz, CA 95065-1709 - Phone
- (831) 476-2444
- Fax
- (831) 476-3271
- NPI assigned
- Aug 2, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G66560 | CA | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | G66560 | CA |
Addresses
Primary practice location
1661 Soquel Dr Ste E
Santa Cruz, CA 95065-1709
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other practice location 1
1661 Soquel Dr Ste C
Santa Cruz, CA 95065-1709
Phone (831) 476-2444
Other practice location 2
1661 Soquel Dr Ste B
Santa Cruz, CA 95065-1709
Phone (831) 476-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of California, San Diego School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1661 Soquel Dr
Suite E
Santa Cruz, CA 95065-1709
Phone (831) 476-2444
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 117 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 4041 |
| Removal of skin cancer | 562 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 68 |
| Skin biopsy | 662 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66560 | CA | MD | Social Worker |
| G66560 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology - Pacific, P.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology - Pacific, P.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology - Pacific, P.C. | Dermatology | Current | Accepting new patients |
| Dermatology Surgical & Medical Group | Dermatology | Current | Accepting new patients |
| Forefront Dermatology - Pacific, P.C. | Dermatology | Past | Accepting new patients |
Locations
15055 Los Gatos Blvd
Ste 100
Los Gatos, CA 95032
Phone (408) 333-9580
1661 Soquel Dr
Ste B
Santa Cruz, CA 95065
Phone (831) 476-2444
1661 Soquel Dr
Ste C
Santa Cruz, CA 95065
Phone (831) 476-2444
1661 Soquel Dr
Ste E
Santa Cruz, CA 95065
Phone (831) 476-2444
801 York St
Manitowoc, WI 54220
Phone (866) 630-9882
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1942201702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204630",
"telephone_number": "920-663-9008",
"fax_number": "920-684-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 SOQUEL DR STE E",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651709",
"telephone_number": "831-476-2444",
"fax_number": "831-476-3271"
}
],
"practiceLocations": [
{
"address_1": "1661 Soquel Dr Ste C",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950651709",
"country_code": "US",
"telephone_number": "831-476-2444",
"fax_number": "831-476-0705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1661 Soquel Dr Ste B",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950651709",
"country_code": "US",
"telephone_number": "831-476-2444",
"fax_number": "831-476-0705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALCIANO",
"first_name": "ANDREW",
"middle_name": "SPEDDING",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G66560",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "G66560",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.