1. Home
  2. Directory
  3. California
  4. Anaheim
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. RAUL CALDERA JR. NP
NPI 1104511500
Nurse Practitioner in Anaheim, CA

Active since April 10, 2023PECOS Enrolled
1771 W ROMNEYA DR STE C, ANAHEIM, CA 92801(714) 758-0403 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Apr 10, 2023 (2 updates tracked since 2023).

About Mr. Raul Caldera Jr. Np NPPES

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

MR. RAUL CALDERA JR. NP (NPI 1104511500) is an individual nurse practitioner in Anaheim, California, licensed in California (95024825) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104511500
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. RAUL CALDERA JR.Credential: NP
Location Address1771 W ROMNEYA DR STE CAnaheim, CA 92801-1817
Mailing Address11316 Bombardier AveNorwalk, CA 90650-1832 · (562) 677-6582
Phone(714) 758-0403
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 10, 2023
Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1104511500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95024825
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1771 W ROMNEYA DR STE C, Anaheim, CA 92801
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Raul Caldera Jr. Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092270413
PECOS Enrollment IDI20260716002661
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.

Medicare Billing Reassignment

Medicare enrollment records show Raul Caldera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

California Wound Healing Medical Group Inc.
21 mi
Surgical
100 E HUNTINGTON DR STE 209
Alhambra, CA 91801
  • Reassigned Medicare billing, California enrollment
  • 50 clinicians in this Medicare group
NPI 1235333972 (323) 264-7796

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92801 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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

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

RAVINDRA ALAPATI MD
Internal Medicine (Gastroenterology)
1771 W ROMNEYA DR STE C
ANAHEIM, CA 92801
Orange County (714) 758-0403

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 Raul Caldera's NPI number?

The NPI number for Raul Caldera is 1104511500. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Raul Caldera located?

Raul Caldera practices at 1771 W Romneya Dr Ste C, Anaheim, CA 92801. The listed phone number is (714) 758-0403.

What is Raul Caldera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Raul Caldera enrolled in Medicare?

Yes. Raul Caldera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raul Caldera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Caldera reassigns Medicare benefits to California Wound Healing Medical Group Inc. (Alhambra, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raul Caldera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Raul Caldera was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.