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

Mr. Raul Caldera Jr.

Individual provider Nurse Practitioner · NPI 1104511500

Mr. Raul Caldera Jr. is a Nurse Practitioner in Norwalk, California. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023

Practice location Address checks out

11316 Bombardier Ave
Norwalk, CA 90650-1832
Phone: (562) 677-6582
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95024825 (CA)

Record details

NPI number1104511500
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 10, 2023
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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