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Andrew Dacayo Calderon, PA-C

NPI 1760910822ActiveIndividual· Physician Assistant· Harbor City, CA

Physician Assistant (PA-C) with Southern California Permanente Medical Group and 1 other group, practicing in Harbor City, California. Enrolled in Medicare as practitioner - physician assistant. Lists Glendale Mem Hospital & Hlth Center as a hospital affiliation.

Overview

NPI1760910822
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJun 1, 2017
Last updated in NPPESDec 6, 2021
Certified by providerDec 1, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CA)

Medicare sources and data years

Education and affiliations

Graduation year2016
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Harbor City

All 27 physician assistants in Harbor City · All physician assistants in California