HAZEL BOLTRON CALLICOTT FNP
NPI 1063205912
Nurse Practitioner - Family in El Cajon, CA

Q: What is Hazel Callicott's NPI number?

The NPI number for Hazel Callicott is 1063205912. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Q: What is Hazel Callicott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Hazel Callicott was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 23, 2025

952 TEATRO CIR, EL CAJON, CA 92021(619) 718-2856 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Hazel Boltron Callicott Fnp NPPES

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

HAZEL BOLTRON CALLICOTT FNP (NPI 1063205912) is an individual family provider in El Cajon, California, licensed in California (NP95034167) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1063205912

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHAZEL BOLTRON CALLICOTTCredential: FNP

Location Address952 TEATRO CIREl Cajon, CA 92021-5183

Mailing Address952 Teatro CirEl Cajon, CA 92021-5183 · (619) 718-2856

Phone(619) 718-2856

Sole ProprietorYes

Enumeration DateMay 23, 2025

NPPES CertifiedMay 23, 2025

✔ NPI 1063205912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95034167

952 TEATRO CIR, El Cajon, CA 92021

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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 Hazel Callicott's NPI number?

The NPI number for Hazel Callicott is 1063205912. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Hazel Callicott located?

Hazel Callicott practices at 952 Teatro Cir, El Cajon, CA 92021. The listed phone number is (619) 718-2856.

What is Hazel Callicott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Hazel Callicott was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.