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CALCAGNO PEDIATRICS PC
NPI 1255322194
Pediatrics in Gresham, OR

Active since October 31, 2005CLIA 38D0966985 · Waiver
24850 SE STARK ST, STE 150, GRESHAM, OR 97030(503) 491-0714(503) 674-2834 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Calcagno Pediatrics Pc NPPES

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

CALCAGNO PEDIATRICS PC (NPI 1255322194) is a healthcare organization registered as a pediatrics in Gresham, Oregon and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists Frank Anthony Calcagno, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1255322194
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCALCAGNO PEDIATRICS PC
Location Address24850 SE STARK ST, STE 150Gresham, OR 97030-8316
Mailing Address24850 Se Stark St, Ste 150Gresham, OR 97030-8316 · (503) 491-0714 · Fax (503) 674-2834
Phone(503) 491-0714
Fax(503) 674-2834
Organization SubpartNo
Authorized OfficialFrank Anthony CalcagnoMd/owner · (503) 491-0714
Enumeration DateOctober 31, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1255322194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
24850 SE STARK ST, Gresham, OR 97030
Open in Google Maps ↗

Other Identifiers 1

Medicaid000136OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0966985

Calcagno Pediatrics · Gresham, OR
Active · expires Feb 15, 2027
CLIA Number38D0966985
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorYesenia J. Ambriz
Laboratory Phone(503) 491-0714
Laboratory LocationCalcagno Pediatrics23331 SE Stark St Ste 201, Gresham, OR 97030
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

DR. HENRY COOKE WINDELL DMD
Dentist (Oral and Maxillofacial Pathology)
24850 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 665-7882
JUNE ELLEN HOBBS CNM
Advanced Practice Midwife
24850 SE STARK ST, SUITE 200
GRESHAM, OR 97030
Multnomah County (503) 491-9444
GRETCHEN ANN GROOMS LMT
Massage Therapist
24850 SE STARK ST, SUITE 200
GRESHAM, OR 97030
Multnomah County (503) 929-7220
DR. JULIA W MASON MD
Pediatrics
24850 SE STARK ST, SUITE 150
GRESHAM, OR 97030
Multnomah County (503) 491-0714
JENNIFER MARIE BOOM LMT
Massage Therapist
24850 SE STARK ST, SUITE 200
GRESHAM, OR 97030
Multnomah County (503) 310-2622
DR. JOHN ANTHONY CALCAGNO MD
Pediatrics
24850 SE STARK ST, STE 150
GRESHAM, OR 97030
Multnomah County (503) 491-0714
DR. FRANK ANTHONY CALCAGNO MD
Pediatrics
24850 SE STARK ST, STE 150
GRESHAM, OR 97030
Multnomah County (503) 491-0714
DR. RUSSELL ARON LIEBLICK DMD
Dentist (Oral and Maxillofacial Surgery)
24850 SE STARK ST, SUITE 100
GRESHAM, OR 97030
Multnomah County (503) 665-7882

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 Calcagno Pediatrics PC's NPI number?

The NPI number for Calcagno Pediatrics PC is 1255322194. It was assigned to this organization in the NPPES registry on October 31, 2005.

Where is Calcagno Pediatrics PC located?

Calcagno Pediatrics PC is located at 24850 SE Stark St Ste 150, Gresham, OR 97030. The listed phone number is (503) 491-0714.

What is Calcagno Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Calcagno Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0966985) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Calcagno Pediatrics PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Calcagno Pediatrics PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Calcagno Pediatrics PC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.