Healthcare Provider Details

I. General information

NPI: 1447766597
Provider Name (Legal Business Name): VANESSA CALDARI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2017
Last Update Date: 12/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 TELEGRAPH AVE
BERKELEY CA
94705-1984
US

IV. Provider business mailing address

3572 KIRKCALDY ST
PLEASANTON CA
94588-2926
US

V. Phone/Fax

Practice location:
  • Phone: 510-280-5543
  • Fax: 510-280-5543
Mailing address:
  • Phone: 787-688-6832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: