Provider Demographics
NPI:1407171929
Name:CALDERON, JOSEPH-PHILLIP T II (AEMT (TR-C))
Entity type:Individual
Prefix:MR
First Name:JOSEPH-PHILLIP
Middle Name:T
Last Name:CALDERON
Suffix:II
Gender:M
Credentials:AEMT (TR-C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36344 BASALT LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-4542
Mailing Address - Country:US
Mailing Address - Phone:858-922-4165
Mailing Address - Fax:
Practice Address - Street 1:36344 BASALT LN
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:CA
Practice Address - Zip Code:92596-4542
Practice Address - Country:US
Practice Address - Phone:858-922-4165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA2042792146M00000X
CATRC136146D00000X
CA467907174H00000X
CA2047-1340-4140207PE0004X
246RP1900X, 246RP1900X, 363AM0700X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical