DOLORES CALDERON M.D.
NPI 1417989666
Family Medicine in Elk Grove, CA

Q: What is Dolores Calderon's NPI number?

The NPI number for Dolores Calderon is 1417989666. It was assigned to this individual provider in the NPPES registry on July 7, 2006. The provider is also known as Dr. Dolores Policicchio M.D..

Q: What is Dolores Calderon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dolores Calderon was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since July 07, 2006PECOS Enrolled

10305 PROMENADE PKWY, ELK GROVE, CA 95757(916) 544-6000(916) 544-6480 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dolores Calderon M.d. NPPES

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

DOLORES CALDERON M.D. (NPI 1417989666) is an individual family medicine provider in Elk Grove, California, licensed in California (A73325) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417989666

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDOLORES CALDERONCredential: M.D.

Location Address10305 PROMENADE PKWYElk Grove, CA 95757-9400

Mailing Address10305 Promenade PkwyElk Grove, CA 95757-9400 · (916) 544-6000 · Fax (916) 544-6480

Phone(916) 544-6000

Fax(916) 544-6480

Sole ProprietorNo

Enumeration DateJuly 7, 2006

Last NPPES UpdateJanuary 10, 2022

✔ NPI 1417989666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A73325

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10305 PROMENADE PKWY, Elk Grove, CA 95757

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Other Names 1

Other Name (5)Dr. Dolores Policicchio M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dolores Calderon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Dolores Calderon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Timberlake Family Practice A Medical Corporation

2.5 mi

Family Medicine

9381 E STOCKTON BLVD STE 216
Elk Grove, CA 95624

Reassigned Medicare billing, California enrollment
6 clinicians in this Medicare group

NPI 1962516591 (916) 691-5855

Permanente Medical Group Inc

26 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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 95757 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 14

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

DR. SHAWN YOUNGS MD

Family Medicine