1. Home
  2. Directory
  3. California
  4. Vallejo
  5. Physician Assistant
  6. NPI Profile

RICARDO CALIXTRO-LOPEZ
NPI 1013621853
Physician Assistant in Vallejo, CA

Active since January 06, 2023PECOS EnrolledAccepts Medicare Assignment
1310 CLUB DR, VALLEJO, CA 94592(707) 638-5809 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2026, Jan 6, 2023 (2 updates tracked since 2023).

About Ricardo Calixtro-lopez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICARDO CALIXTRO-LOPEZ (NPI 1013621853) is an individual physician assistant in Vallejo, California, licensed in California (PA67710) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013621853
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRICARDO CALIXTRO-LOPEZ
Location Address1310 CLUB DRVallejo, CA 94592-1187
Mailing Address1310 Club DrVallejo, CA 94592-1187 · (707) 638-5809
Phone(707) 638-5809
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 6, 2023
Last NPPES UpdateApril 1, 20262 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1013621853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA67710
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1310 CLUB DR, Vallejo, CA 94592
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ricardo Calixtro-lopez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244706364
PECOS Enrollment IDI20260416002203
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94592 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THAO-VY THI TRAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5200
CARLY COLE
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ASHLEY NICOLE RITUALO CHAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
EMILY SPAIN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
AUSTIN JOE WILLIS
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ANNA NUNOO
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
MAYANKA BARATH
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
TZIPORAH AMGOTT-KWAN DO, MPH
Student in an Organized Health Care Education/Training Program
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricardo Calixtro-lopez's NPI number?

The NPI number for Ricardo Calixtro-lopez is 1013621853. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Ricardo Calixtro-lopez located?

Ricardo Calixtro-lopez practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (707) 638-5809.

What is Ricardo Calixtro-lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ricardo Calixtro-lopez enrolled in Medicare?

Yes. Ricardo Calixtro-lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ricardo Calixtro-lopez was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.