Individual provider · Type 1 NPI
Calvin Alexander Petkus
Student in an Organized Health Care Education/Training Program · Malibu, CA
NPI number
1225981608
Active
Practice location
29500 Heathercliff Rd Spc 179
Malibu, CA 90265-6179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Micah Dyer, AMFT, ALPCCStudent in an Organized Health Care Education/Training Program Malibu, CA NPI 1760174593
- Ashley PeakStudent in an Organized Health Care Education/Training Program Malibu, CA NPI 1831624139
About NPI 1225981608
Calvin Alexander Petkus's National Provider Identifier is 1225981608, issued on Feb 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Malibu, CA. The record was last updated on Feb 17, 2026.