MR. ANGELO MEDINA CALIVOSO (NPI# 1740244664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740244664 |
| Entity Type | Individual |
| Full Name | MR. ANGELO MEDINA CALIVOSO |
| Credential | MSO |
| Practice Address |
Norfolk Naval Base - Csu East 581 A St Bldg Sp-312 Room 115 Norfolk VA 23511 |
| Mailing Address |
36283 Veramonte Ave Murrieta CA 92562-6505 |
| Practice Telephone | 7574435760 |
| Mailing Telephone | 6195784009 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
NORFOLK NAVAL BASE - CSU EAST 581 A ST BLDG SP-312 ROOM 115 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1205188307 | Agnes Bautista Banias | Dental Hygienist | 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 | 2012-10-12 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
| 1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
| Find all providers in zip 23511 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760691547 | Donald Paul Highley Jr. | Military Health Care Provider | Uss James E, Williams (ddg 95), Norfolk, VA 09575-1204 | 2007-05-21 |
| 1174731962 | Kelly D Hoffer | Military Health Care Provider | 1084 Pocahontas St, Norfolk, VA 23511-2133 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952878365 | Justin Felix | Military Health Care Provider | 4747 W Braddock Rd Apt 3, Alexandria, VA 22311-4722 | 2018-10-24 |
| 1629555792 | Christopher R Bowlds | Military Health Care Provider | 3477 S Utah St, Arlington, VA 22206-1943 | 2018-07-23 |
| 1053809491 | James Miller | Military Health Care Provider | 716 Whisperwood Dr, Newport News, VA 23602-4954 | 2018-05-01 |
| 1225464837 | Stephen Mitchell Harris | Military Health Care Provider | 49 Spruce St, Pcs Box 1000, Langley Afb, VA 23665-2800 | 2013-09-16 |
| 1104259522 | Antoine Lamont Smith Sr. | Military Health Care Provider | 1260 Shotgun Rd, Chesapeake, VA 23322-4512 | 2013-08-21 |
| 1063851616 | Alina J Elliott | Military Health Care Provider | 119 Kincaid Ln, Hampton, VA 23666-5401 | 2013-06-17 |
| 1821337346 | Stefan Langley | Military Health Care Provider | 212 Apollo Way, Hampton, VA 23665-2492 | 2013-02-04 |
| 1790041192 | Ferdinand Nmi Makabata | Military Health Care Provider | 1406 Hardy Cash Dr, Hampton, VA 23666-2434 | 2012-04-10 |
| 1053688416 | Thomas Garrett Cook | Military Health Care Provider | 384 Watts Ave, Hampton, VA 23665-1822 | 2011-11-29 |
| 1598032955 | Ann Marie Summerrise | Military Health Care Provider | 102 Chippenham Dr Apt H, Yorktown, VA 23693-2843 | 2011-11-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.