Andrew Dacayo Calderon, PA-C - Medicare Physician Assistant in Harbor City, CA

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Andrew Dacayo Calderon, PA-C is a medicare enrolled "Physician Assistant" in Harbor City, California. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Willow Brook Critical Care Medical Group Inc, Southern California Permanente Medical Group and his current practice location is 25825 Vermont Ave, Harbor City, California. You can reach out to his office (for appointments etc.) via phone at (310) 325-5111.

Andrew Dacayo Calderon is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760910822.

Contact Information

Andrew Dacayo Calderon, PA-C
25825 Vermont Ave,
Harbor City, CA 90710-3518
(310) 325-5111
Not Available

Map and Direction




Provider's Profile

Full NameAndrew Dacayo Calderon
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location25825 Vermont Ave, Harbor City, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew Dacayo Calderon graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1760910822
  • Provider Enumeration Date: 06/01/2017
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062787765
  • Enrollment ID: I20171005002449

Medical Identifiers

Medical identifiers for Andrew Dacayo Calderon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760910822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Willow Brook Critical Care Medical Group Inc347697531916
Southern California Permanente Medical Group600272917511250

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrew Dacayo Calderon allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameWillow Brook Critical Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811520224
PECOS PAC ID: 3476975319
Enrollment ID: O20200622002378

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrew Dacayo Calderon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrew Dacayo Calderon, PA-C
25825 Vermont Ave,
Harbor City, CA 90710-3518

Ph: (310) 325-5111		Andrew Dacayo Calderon, PA-C
25825 Vermont Ave,
Harbor City, CA 90710-3518

Ph: (310) 325-5111

Reviews and Comments


Physician Assistant Nurses in Harbor City, CA

Mr. Richard Franklin Wells, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-517-2862    Fax: 310-517-4207
Mr. Parker W Greene, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 25965 Normandie Ave, Harbor City, CA 90710
Phone: 310-871-4735    
Ms. Karen Kincey, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 25825 S. Normandie Ave., Harbor City, CA 90222
Phone: 310-517-3301    Fax: 310-257-6457
Mr. Laurence Marion Rick, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Kaiser Permanente,lakeside Module 5, Harbor City, CA 90710
Phone: 310-517-3332    
Shari R Ylma, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Mrs. Lynne Lorraine Chambers, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 25965 South Normandie Ave, Pediatrics 2nd Floor, Harbor City, CA 90710
Phone: 310-257-6183    
Alfonso Esquivel,
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1403 Lomita Blvd Ste 101, Harbor City, CA 90710
Phone: 310-784-5800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.