| Calderon Medical Group | |
|
3000 W Charleston Blvd Suite 5 Las Vegas NV 89102-1906 | |
| (702) 877-9511 | |
| (702) 877-6711 |
| Full Name | Calderon Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Benito Calderon (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7028779511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calderon Medical Group 3000 W Charleston Blvd Suite 5 Las Vegas NV 89102-1906 Ph: (702) 877-9511 | Calderon Medical Group 3000 W Charleston Blvd Suite 5 Las Vegas NV 89102-1906 Ph: (702) 877-9511 |
| NPI Number | 1134363781 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 4587795091 |
|---|---|
| Medicare Enrollment ID | O20100628000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134363781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Upinder Singh |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609846229 PECOS PAC ID: 9537155809 Enrollment ID: I20040422000307 |
| Provider Name | Marcelino C Belizario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639172448 PECOS PAC ID: 1658350004 Enrollment ID: I20040719000520 |
| Provider Name | Benito Calderon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396799904 PECOS PAC ID: 8123027257 Enrollment ID: I20090623000741 |
| Provider Name | Ritch Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255843744 PECOS PAC ID: 4587926290 Enrollment ID: I20180316001311 |
| Provider Name | Conrado Neri Yutuc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447971486 PECOS PAC ID: 9133593767 Enrollment ID: I20230322003137 |
| Provider Name | Sheila Marie Evaristo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841969979 PECOS PAC ID: 3274987201 Enrollment ID: I20230926000575 |
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