Healthcare Provider Details

I. General information

NPI: 1619008158
Provider Name (Legal Business Name): LUNA H CALDERON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3863 HOWE ST
OAKLAND CA
94611-5343
US

IV. Provider business mailing address

3863 HOWE ST OFC A
OAKLAND CA
94611-5343
US

V. Phone/Fax

Practice location:
  • Phone: 510-747-8730
  • Fax: 650-301-8639
Mailing address:
  • Phone: 510-747-8730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number16402
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: