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General NPI Number Information
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NPI Number | 1972455236
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Entity Type | Organization
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Legal Business Name | SUMMIT RIDGE CALDERON PC
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 8345 S RAINBOW BLVD. SUITE 170
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City | LAS VEGAS
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State | NV
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Zip | 89113
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Country | US
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Telephone | 702-334-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 W CHARLESTON BLVD STE 1
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City | LAS VEGAS
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State | NV
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Zip | 89102-1981
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. BENITO CALDERON JR.
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Credential | MD
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Telephone | 702-334-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Radiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085R0205X
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Taxonomy Name | Radiological Physics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number |
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License Number State |
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Taxonomy #14
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #15
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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