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JUAN CARLOS CALDERON
NPI 1467226480
Marriage & Family Therapist in Long Beach, CA

Active since November 09, 2023PECOS Enrolled
1301 PINE AVE, LONG BEACH, CA 90813(562) 595-1159 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2025, Nov 9, 2023 (2 updates tracked since 2023).

About Juan Carlos Calderon NPPES

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

JUAN CARLOS CALDERON (NPI 1467226480) is an individual marriage & family therapist in Long Beach, California, licensed in California (159465) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1467226480
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJUAN CARLOS CALDERON
Location Address1301 PINE AVELong Beach, CA 90813-3124
Mailing Address1301 Pine AveLong Beach, CA 90813-3124 · (562) 595-1159
Phone(562) 595-1159
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 9, 2023
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1467226480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 159465
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1301 PINE AVE, Long Beach, CA 90813
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Carlos Calderon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42799579
PECOS Enrollment IDI20260205001463
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 Juan Calderon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
328 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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

Other Providers at the Same Location NPPES 20

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

DR. EMILY LOUISE MINTER STAVAS PSYD.
Marriage & Family Therapist
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. CHLOE RUSSELL PSY.D.
Psychologist (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. MINDY MUELLER PSYD
Psychologist (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 216-1713
KRISTIN SIMONE MCNEESE
Social Worker (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 833-3502
TERESA GUILLEN
Marriage & Family Therapist
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 216-1704
VICTORIA YOLANDA MUNOZ
Marriage & Family Therapist
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 896-1850
SARIKA BAHL M.A.
Student in an Organized Health Care Education/Training Program
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. JOHN NICHOLAS LEGGIO
Rehabilitation Counselor
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159

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 Juan Calderon's NPI number?

The NPI number for Juan Calderon is 1467226480. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Where is Juan Calderon located?

Juan Calderon practices at 1301 Pine Ave, Long Beach, CA 90813. The listed phone number is (562) 595-1159.

What is Juan Calderon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Juan Calderon enrolled in Medicare?

Yes. Juan Calderon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Juan Calderon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Calderon reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, 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 Juan Calderon'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 Juan Calderon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.