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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANDI DIAZ CALDERON
NPI 1104739994
Student in an Organized Health Care Education/Training Program in Grand Terrace, CA

Active since September 23, 2026
11852 MOUNT VERNON AVE APT 523, GRAND TERRACE, CA 92313(415) 870-5067 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Andi Diaz Calderon NPPES

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

ANDI DIAZ CALDERON (NPI 1104739994) is an individual student in an organized health care education/training program in Grand Terrace, California and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1104739994
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANDI DIAZ CALDERON
Location Address11852 MOUNT VERNON AVE APT 523Grand Terrace, CA 92313-8306
Mailing Address11852 Mount Vernon Ave Apt 523Grand Terrace, CA 92313-8306 · (415) 870-5067
Phone(415) 870-5067
Sole ProprietorNo
Enumeration DateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1104739994 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.
11852 MOUNT VERNON AVE APT 523, Grand Terrace, CA 92313
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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 Andi Diaz Calderon's NPI number?

The NPI number for Andi Diaz Calderon is 1104739994. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Where is Andi Diaz Calderon located?

Andi Diaz Calderon practices at 11852 Mount Vernon Ave Apt 523, Grand Terrace, CA 92313. The listed phone number is (415) 870-5067.

What is Andi Diaz Calderon's specialty?

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

When was this NPI record last updated?

The NPPES record for Andi Diaz Calderon was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.