Healthcare Provider Details

I. General information

NPI: 1043137144
Provider Name (Legal Business Name): ROLANDO PEREZ-CALMO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

494 BLOSSOM WAY
CHERRYLAND CA
94541-1948
US

IV. Provider business mailing address

7105 ORRAL ST
OAKLAND CA
94621-3137
US

V. Phone/Fax

Practice location:
  • Phone: 510-582-7676
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number01281869
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: