ANDREW DACAYO CALDERON (NPI# 1760910822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760910822 |
| Entity Type | Individual |
| Full Name | ANDREW DACAYO CALDERON |
| Credential | PA-C |
| Practice Address |
25825 Vermont Ave Harbor City CA 90710-3518 |
| Practice Telephone | (310) 325-5111 |
| Mailing Telephone | 3103255111 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699133363 | Andrew Calderon | Hearing Instrument Specialist | 5055 Canyon Crest Dr, Riverside, CA 92507-6015 | 2016-02-09 |
| Street Address |
25825 VERMONT AVE |
| City | HARBOR CITY |
| State | CA |
| Zip Code | 90710-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567178 | Jennifer Diane Armstrong | Internal Medicine | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2005-06-10 |
| 1972118263 | Mitos Rachel Roa Daling | Registered Nurse | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-09-13 |
| 1689285884 | Sarah Gong | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-08-11 |
| 1578172607 | Daisy Lee | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-07-24 |
| 1114558897 | David Seho Park | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-01-30 |
| 1801446208 | Pamela Barron-zambrano | Nurse Anesthetist, Certified Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-09-17 |
| 1760030076 | Tajmara Ismail | Respiratory Therapist, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-29 |
| 1518513423 | Alexa Ann Pepin | Dietitian, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-15 |
| 1184279119 | Martin Lavertu | Registered Nurse | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-06 |
| 1417515073 | Ulises Obregon | Respiratory Therapist, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036018 | Eddie Blackmon IIi | Respiratory Therapist, Registered | 25820 Normandie Ave, Harbor City, CA 90710 | 2020-09-08 |
| 1316502099 | Jennifer Ilene Estey | Nurse Practitioner | 1403 Lomita Blvd Ste 307, Harbor City, CA 90710 | 2019-05-07 |
| 1104398643 | Active Life Home Care Inc | In Home Supportive Care | 760 W. Lomita Blvd., Suite 79, Harbor City, CA 90710 | 2018-12-21 |
| 1073088514 | Ez Access Transportation Corp. | Non-emergency Medical Transport (VAN) | 24328 S Vermont Ave, Suite #313, Harbor City, CA 90710 | 2018-10-11 |
| 1689192791 | County of Los Angeles Auditor Controller | Clinic/Center | 1403 Lomita Blvd., Suite 102, Rooms 1-26 & Conference Room, Harbor City, CA 90710 | 2017-09-08 |
| 1174041347 | Cb Carehome, Inc | Skilled Nursing Facility | 23331 Maltby Place, Harbor City, CA 90710 | 2017-09-07 |
| 1649705682 | Gina Guillaume | Student in an Organized Health Care Education/Training Program | 1403 West Lomita Blvd Suite 200, Harbor City, CA 90710 | 2017-04-27 |
| 1760843213 | Karen Savoni | Social Worker | 25975 Normandie Avenue, Harbor City, CA 90710 | 2016-03-11 |
| 1699148593 | Kaiser Permanente | Health Maintenance Organization | 25965 S. Normandie Aveune, Harbor City, CA 90710 | 2015-11-02 |
| 1164778148 | Thermon Lenelle Carrier | Driver | 1332 W. 254th St, Apt E, Harbor City, CA 90710 | 2012-07-27 |
| Find all providers in zip 90710 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396957379 | Heidi Camille Walsh | Physician Assistant | 25965 S. Normadie Ave, Harbor City, CA 90710 | 2007-05-04 |
| 1992735369 | John Patrick Manning | Physician Assistant | 25965 S Normandie Ave, Harbor City, CA 90710 | 2006-07-03 |
| 1437467966 | Christopher John Osborn | Physician Assistant | 25825 Vermont Ave, Harbor City, CA 90710 | 2010-09-17 |
| 1477872596 | Crystal Michelle Shirreffs | Physician Assistant | 1050 Pacific Coast Hwy, Harbor City, CA 90710-3509 | 2010-05-28 |
| 1972704864 | Debra Omotosho | Physician Assistant | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2007-05-30 |
| 1235330127 | Shari R Ylma | Physician Assistant | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2007-05-30 |
| 1528269412 | Rushton E Halbert IIi | Physician Assistant | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2007-05-30 |
| 1558562447 | Stanley Ragsdale | Physician Assistant | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2007-05-30 |
| 1366643256 | Darla G Hawkins | Physician Assistant | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2007-05-30 |
| 1992906697 | Curtis Richard | Physician Assistant | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2007-05-30 |
| Find all providers in HARBOR CITY | ||||
| City | HARBOR CITY |
| Zip Code | 90710 |
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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.