Individual provider Active NPI

Andrew Spedding Calciano, MD

  • Dermatology Physician
  • Santa Cruz, CA
National Provider Identifier
1942201702
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G66560 Issued in CA
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

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000917 CA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4789570342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of California, San Diego School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology - Pacific, P.C.Group PAC ID 8325946015, 25 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision117
Removal of tissue1-10
Removal of skin lesions4041
Removal of skin cancer562
Removal of nail tissue1-10
Removal or shaving of skin growth68
Skin biopsy662

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66560CAMDSocial Worker
G66560CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology - Pacific, P.C. Dermatology CurrentSince Sep 19, 2023 Accepting new patients
Forefront Dermatology - Pacific, P.C. Dermatology Current Accepting new patients
Forefront Dermatology - Pacific, P.C. Dermatology CurrentSince Sep 19, 2023 Accepting new patients
Dermatology Surgical & Medical Group Dermatology CurrentSince Nov 23, 2002 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.

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

Verify at the official NPI Registry.