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NICOLE CALVILLO M.D.
NPI 1073760229
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since August 19, 2008PECOS EnrolledAccepts Medicare Assignment
1201 ALHAMBRA BLVD, SUITE 340, SACRAMENTO, CA 95816(916) 451-4400(916) 731-7955 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Calvillo M.d. NPPES

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

NICOLE CALVILLO M.D. (NPI 1073760229) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2008).

NPPES Registry Identity

NPI1073760229
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE CALVILLOCredential: M.D.
Location Address1201 ALHAMBRA BLVD, SUITE 340Sacramento, CA 95816-5238
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071
Phone(916) 451-4400
Fax(916) 731-7955
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2008
Enumeration DateAugust 19, 2008
Last NPPES UpdateDecember 15, 2021
✔ NPI 1073760229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1201 ALHAMBRA BLVD, Sacramento, CA 95816
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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

Nicole Calvillo M.d. 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 ID3173795366
PECOS Enrollment IDI20111012000434
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.

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.

MELANY J. CORYEA P.T.A.
Physical Therapy Assistant
1201 ALHAMBRA BLVD, SUITE 200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
SUTTER VALLEY MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
1201 ALHAMBRA BLVD, #200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
JAHNA C CARRERAS PTA
Physical Therapy Assistant
1201 ALHAMBRA BLVD, #200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
LUCIA P RAEL PTA
Physical Therapy Assistant
1201 ALHAMBRA BLVD, SUITE 200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
ANNALYSE FELDMAN DO
Family Medicine
1201 ALHAMBRA BLVD, SUITE 230
SACRAMENTO, CA 95816
Sacramento County (916) 731-7848
UYEN HUYNH FREITAS NP
Nurse Practitioner (Family)
1201 ALHAMBRA BLVD
SACRAMENTO, CA 95816
Sacramento County (916) 731-7925
MS. ALICIA GORDON
Physician Assistant
1201 ALHAMBRA BLVD, #230
SACRAMENTO, CA 95816
Sacramento County (916) 731-7728
DR. LYLE RICHARD JUSTESEN M.D.
Preventive Medicine (Occupational Medicine)
1201 ALHAMBRA BLVD, SUITE 210
SACRAMENTO, CA 95816
Sacramento County (916) 731-7775

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 Nicole Calvillo's NPI number?

The NPI number for Nicole Calvillo is 1073760229. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Nicole Calvillo located?

Nicole Calvillo practices at 1201 Alhambra Blvd Suite 340, Sacramento, CA 95816. The listed phone number is (916) 451-4400.

What is Nicole Calvillo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Calvillo enrolled in Medicare?

Yes. Nicole Calvillo 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 Nicole Calvillo was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.