NPI 1013621853

Ricardo Calixtro-Lopez

Practitioner Physician Assistant Vallejo, CA

Practice location

Address: 1310 Club Dr, Vallejo, CA 94592-1187
Phone: (707) 638-5809

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA67710 (CA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013621853
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jan 2023
Record last updated: 1 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.