| Ana Calderon, | |
|
1321 I St, Suite 3, Modesto, CA 95354-0902 | |
| (209) 558-8466 | |
| Not Available |
| Full Name | Ana Calderon |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1321 I St, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770890899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Ana Calderon, 1321 I St, Suite 3, Modesto, CA 95354-0902 Ph: (209) 558-8466 | Ana Calderon, 1321 I St, Suite 3, Modesto, CA 95354-0902 Ph: (209) 558-8466 |
Leticia Gomez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1604 Ford Ave Ste 9, Modesto, CA 95350 Phone: 209-353-2522 |
Mr. William Leon Boddie Ii, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Rd, Modesto, CA 95355 Phone: 209-405-2667 |
Diana Faith Kigenyi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Road, Modesto, CA 95355 Phone: 209-557-6200 |
Ms. Shamerin Bourang, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1225 Oakdale Rd, Modesto, CA 95355 Phone: 209-557-6213 |
Mrs. Maria Edith Martinez, MSW,ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave Ste I, Modesto, CA 95350 Phone: 209-526-1476 |
Celeste Ujuraviht Pantoja Morales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3224 Mchenry Ave, Modesto, CA 95350 Phone: 209-900-4546 |
Paul Samuel Crenshaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 726 14th St Ste A, Modesto, CA 95354 Phone: 209-614-1440 |