1. Home
  2. Directory
  3. Idaho
  4. Mountain Home Afb
  5. Physician Assistant
  6. NPI Profile

GLORIA CALVILLO
NPI 1821629288
Physician Assistant in Mountain Home Afb, ID

Active since February 03, 2020
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648(208) 828-7401 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, Feb 6, 2025, Dec 16, 2020 and 1 more (4 updates tracked since 2020).

About Gloria Calvillo NPPES

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

GLORIA CALVILLO (NPI 1821629288) is an individual physician assistant in Mountain Home Afb, Idaho and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1821629288
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGLORIA CALVILLO
Location Address90 HOPE DR BLDG 6000Mountain Home Afb, ID 83648-1062
Mailing Address90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1062 · (208) 282-7401
Phone(208) 828-7401
Sole ProprietorNo
Enumeration DateFebruary 3, 2020
Last NPPES UpdateJune 16, 20254 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1821629288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
90 HOPE DR BLDG 6000, Mountain Home Afb, ID 83648
Open in Google Maps ↗

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.

SHANNON L WILSON LCSW
Social Worker (Clinical)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 288-7580
DR. CRAIG LOYD FOLSOM D.D.S.
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7300
MCKENZIE LEIGH NUTTER DDS
Military Health Care Provider
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7300
DR. STEPHEN STERLING POTTER DDS
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7300
BRANYAN DECARLO GARCIA FNP
Nurse Practitioner (Family)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7596
MS. JOANNA ELISE WIESE
Psychologist (Prescribing (Medical))
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7581
BICHLE THI NGUYEN D.O.
General Practice
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7401
MICHAEL BOCEK PHARMD
Pharmacist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7521

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 Gloria Calvillo's NPI number?

The NPI number for Gloria Calvillo is 1821629288. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Where is Gloria Calvillo located?

Gloria Calvillo practices at 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648. The listed phone number is (208) 828-7401.

What is Gloria Calvillo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Gloria Calvillo was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.