ANDREW DACAYO CALDERON PA-C
NPI 1760910822
Physician Assistant in Harbor City, CA

Active since June 01, 2017PECOS EnrolledAccepts Medicare Assignment
25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 325-5111 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2021, Jun 1, 2017 (2 updates tracked since 2017).

About Andrew Dacayo Calderon Pa-c NPPES

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

ANDREW DACAYO CALDERON PA-C (NPI 1760910822) is an individual physician assistant in Harbor City, California and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760910822
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW DACAYO CALDERONCredential: PA-C
Location Address25825 VERMONT AVEHarbor City, CA 90710-3518
Mailing Address25825 Vermont AveHarbor City, CA 90710-3518 · (310) 325-5111
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 1, 2017
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
NPI 1760910822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

25825 VERMONT AVE, Harbor City, CA 90710

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrew Dacayo Calderon Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062787765
PECOS Enrollment IDI20171005002449
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 90710 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

Obstetrics & Gynecology
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE, APT CLINIC - PARKVIEW 3RD FL, ROOM 3114
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760910822, enumerated as an "individual" on June 01, 2017.

The provider is located at 25825 VERMONT AVE HARBOR CITY, CA 90710 and the phone number is (310) 325-5111.

Physician Assistant with taxonomy code 363A00000X.