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STEPHANIE T CALVILLO DDS
NPI 1730468695
Dentist - General Practice in Fontana, CA

Active since August 10, 2011PECOS Enrolled
9922 SIERRA AVE, FONTANA, CA 92335(909) 822-4800 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1730468695
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSTEPHANIE T CALVILLOCredential: DDS
Location Address9922 SIERRA AVEFontana, CA 92335-6721
Mailing Address9922 Sierra AveFontana, CA 92335-6721 · (909) 822-4800
Phone(909) 822-4800
Sole ProprietorNo
Medical School CMSLoma Linda University School Of DentistryGraduated 2011
Enumeration DateAugust 10, 2011
Last NPPES UpdateNovember 21, 2014
✔ NPI 1730468695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 60505
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9922 SIERRA AVE, Fontana, CA 92335
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie T Calvillo Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880973809
PECOS Enrollment IDI20260528002650
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.

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.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 3

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

CALVILLO AND PENALBA DENTAL CORP.
Dentist (General Practice)
9922 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 822-4800
CAMONES DENTAL CORPORATION
Dentist
9922 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 822-4800
DR. WILBERTO ISAAC PENALBA DDS
Dentist (General Practice)
9922 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 822-4800

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.

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.