Provider Demographics
NPI:1487530515
Name:CALICA, CYNTHIA NONAN
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:NONAN
Last Name:CALICA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2043 SENNA WAY
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-6092
Mailing Address - Country:US
Mailing Address - Phone:805-415-4740
Mailing Address - Fax:
Practice Address - Street 1:2043 SENNA WAY
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-6092
Practice Address - Country:US
Practice Address - Phone:805-415-4740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA721897163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse