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DR. GUSTAVO CALLEROS MD NPI 1346358827


NPI Information

NPI: 1346358827
Provider Name: DR. GUSTAVO CALLEROS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
50 BELLEFONTAINE ST
SUITE 401
PASADENA, CA
ZIP 91105
Phone: (626) 793-1931
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DR. Gustavo Calleros, MD is a family medicine in Pasadena, CA with 25 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Gustavo Calleros, MD NPI is 1346358827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year:1999

The provider's business location address is:

50 BELLEFONTAINE ST
SUITE 401
PASADENA, CA
ZIP 91105-132
Phone: (626) 793-1931
Fax: (626) 793-0161

The NPI 1346358827 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 8/26/2006 and was last updated on 12/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA74210CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A74210OTHERCALIFORNIAMEDICAL LICENSE
2GR0084061MEDICAIDCALIFORNIA
3GR0084064MEDICAIDCALIFORNIA
4W14041A,B,CMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAELA, MTB AND PAS OFFICES
5H74215MEDICARE UPINCALIFORNIA
6WA74210D,E,FMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER #'S
700A74210MEDICAIDCALIFORNIA
8GR0084062MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.