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

Ricardo Calixtro-Lopez

Individual provider Physician Assistant · NPI 1013621853

Ricardo Calixtro-Lopez is a Physician Assistant in Vallejo, California. Qualified in 2025, 1 year ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1310 Club Dr
Vallejo, CA 94592-1187
Phone: (707) 638-5809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67710 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013621853
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 6, 2023
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address1310 Club Dr, Vallejo, CA 94592-1187

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vallejo