Organization
SUMMIT RIDGE CALDERON PC
Active
Organization
SUMMIT RIDGE CALDERON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENITO CALDERON JR. MD (CEO)
(702) 334-1919
Entity
Organization
Contact information
Practice address
8345 S RAINBOW BLVD., SUITE 170, LAS VEGAS, NV 89113
(702) 334-1919
Mailing address
3000 W CHARLESTON BLVD STE 1, LAS VEGAS, NV 89102-1981
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
—
—
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
02/10/2026
Last updated
06/02/2026
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