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CALVIN ALEXANDER PETKUS
NPI 1225981608
Student in an Organized Health Care Education/Training Program in Malibu, CA

Active since February 17, 2026
29500 HEATHERCLIFF RD SPC 179, MALIBU, CA 90265(818) 852-1373 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Calvin Alexander Petkus NPPES

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

CALVIN ALEXANDER PETKUS (NPI 1225981608) is an individual student in an organized health care education/training program in Malibu, California and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1225981608
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCALVIN ALEXANDER PETKUS
Location Address29500 HEATHERCLIFF RD SPC 179Malibu, CA 90265-6179
Mailing Address29500 Heathercliff Rd Spc 179Malibu, CA 90265-6179 · (818) 852-1373
Phone(818) 852-1373
Sole ProprietorNo
Enumeration DateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1225981608 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.
29500 HEATHERCLIFF RD SPC 179, Malibu, CA 90265
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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 Calvin Petkus's NPI number?

The NPI number for Calvin Petkus is 1225981608. It was assigned to this individual provider in the NPPES registry on February 17, 2026.

Where is Calvin Petkus located?

Calvin Petkus practices at 29500 Heathercliff Rd Spc 179, Malibu, CA 90265. The listed phone number is (818) 852-1373.

What is Calvin Petkus'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 Calvin Petkus was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.