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

Issima Javon Caldwell Jr.

Individual provider Health Educator · NPI 1770391120

Issima Javon Caldwell Jr. is a Health Educator in Tracy, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

1005 E Pescadero Ave # SITE211
Tracy, CA 95304-8503
Phone: (209) 767-2895
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X · Licence 1503552 (CA)
Health Educator Taxonomy 174H00000X · Licence 1503552 (CA)
Clinical Exercise Physiologist Taxonomy 224Y00000X · Licence 1503552 (CA)

Record details

NPI number1770391120
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 18, 2024
Last updated in NPPESJanuary 12, 2025
Certification dateJanuary 12, 2025