Provider Demographics
NPI:1407171929
Name:CALDERON, JOSEPH-PHILLIP T II (TR-C/AEMT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH-PHILLIP
Middle Name:T
Last Name:CALDERON
Suffix:II
Gender:M
Credentials:TR-C/AEMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32383 SPUN COTTON DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-8666
Mailing Address - Country:US
Mailing Address - Phone:858-922-4165
Mailing Address - Fax:
Practice Address - Street 1:32383 SPUN COTTON DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:CA
Practice Address - Zip Code:92596-8666
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:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman
No171W00000XOther Service ProvidersContractor
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical