STEPHANIE T CALVILLO DDS
NPI 1730468695
Dentist - General Practice in Fontana, CA
About Stephanie T Calvillo Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE T CALVILLO DDS (NPI 1730468695) is an individual general practice provider in Fontana, California, licensed in California (60505) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Dentistry (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie T Calvillo Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Calvillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomington, CA 92316
- Reassigned Medicare billing, California enrollment
- 86 clinicians in this Medicare group
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 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stephanie Calvillo's NPI number?
The NPI number for Stephanie Calvillo is 1730468695. It was assigned to this individual provider in the NPPES registry on August 10, 2011.
Where is Stephanie Calvillo located?
Stephanie Calvillo practices at 9922 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 822-4800.
What is Stephanie Calvillo's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Stephanie Calvillo enrolled in Medicare?
Yes. Stephanie Calvillo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Calvillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Calvillo reassigns Medicare benefits to Community Health Systems, Inc. (Bloomington, 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 Stephanie Calvillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Calvillo accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Stephanie Calvillo 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 Stephanie Calvillo was last updated on November 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Stephanie T Calvillo, DDS · NPI 1730468695
General Practice provider in Fontana, California. Individual provider, active in the CMS NPPES registry since August 10, 2011.
## Identity
- **NPI:** 1730468695 (Entity type: Individual)
- **Enumerated:** August 10, 2011
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 60505 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9922 SIERRA AVE, Fontana, CA 92335-6721
- **Phone:** (909) 822-4800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Community Health Systems, Inc. (NPI 1487706347, Bloomington, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Dentistry, class of 2011
## Record status
- **NPPES last updated:** November 21, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1730468695) · Data from the CMS NPPES public registry.