Healthcare Provider Details

I. General information

NPI: 1437034501
Provider Name (Legal Business Name): HART CALIGAGAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 EL CAMINO REAL
PALO ALTO CA
94301-2302
US

IV. Provider business mailing address

831 GATEVIEW DR
SAN JOSE CA
95133-1214
US

V. Phone/Fax

Practice location:
  • Phone: 650-853-3355
  • Fax:
Mailing address:
  • Phone: 408-300-3696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number308444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: