MR. LUIS ANGEL CALVILLO JR.


Address: 246 Plews Ct, Riverside, CA 92507-1100
Phone: 9094999266

MR. LUIS ANGEL CALVILLO JR. (NPI# 1508110461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508110461
Entity Type Individual
Full Name MR. LUIS ANGEL CALVILLO JR.
Credential PTA
Practice Address 246 Plews Ct
Riverside
CA 92507-1100
Practice Telephone 9094999266
Mailing Telephone 9094999266
Enumeration Date 2012-10-30
Last Update Date 2012-10-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist AT8130 CA Other Service Providers

Office Location

Street Address 246 PLEWS CT
City RIVERSIDE
State CA
Zip Code 92507-1100

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1518432962 Antonio Mixon Specialist 1405 Spruce Street, Suite A, Riverside, CA 92507 2018-10-11
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1780176875 Miriam Martinez Case Manager/Care Coordinator 2085 Rustin Ave., Riverside, CA 92507 2018-06-04
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1245778331 Lynn Nevatt Specialist 3833 Jurupa Ave, Riverside, CA 92506-2221 2017-02-08
1093264145 Nephrology Associates Medical Group, Inc. Specialist 3660 Park Sierra Dr Ste 203, Riverside, CA 92505-3071 2016-09-30
1639625247 Dana Keim Specialist 6864 Indiana Ave Ste 104a, Riverside, CA 92506 2016-09-01
1720401615 Matthew Martinez Specialist 8205 Coleman St, Riverside, CA 92504-3107 2014-01-28
1649512575 Michael C Luciano Specialist 3120 Chicago Ave, Suite #170, Riverside, CA 92507-3490 2013-03-18
1639474513 Jeanne Dunkel Specialist 3529 Hoover St, Riverside, CA 92504-3907 2011-01-24
1821271412 Mario Carcamo Md Inc Specialist 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 2007-12-06
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Competitor

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City RIVERSIDE
Zip Code 92507

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Dataset Information

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.

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