Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Calvin Alexander Petkus

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225981608

Calvin Alexander Petkus is a Student in an Organized Health Care Education/Training Program in Malibu, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

29500 Heathercliff Rd Spc 179
Malibu, CA 90265-6179
Phone: (818) 852-1373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1225981608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2026
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

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