Camille Hana Nawawi, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in La Jolla, California. She graduated from healthcare school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centro De Salud De La Comunidad De San Ysidro, Inc and her current practice location is
8950 Villa La Jolla Dr Ste C217, La Jolla, California. You can reach out to her office (for appointments etc.) via phone at
(855) 501-1004.
Camille Hana Nawawi is licensed to practice in California (license number 95030849) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699265975.
Healthcare Provider's Profile
| Full Name | Camille Hana Nawawi |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 8950 Villa La Jolla Dr Ste C217, La Jolla, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Camille Hana Nawawi graduated from medical school in 2024
NPI Data:
- NPI Number: 1699265975
- Provider Enumeration Date: 05/13/2018
- Last Update Date: 01/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 1759815160
- Enrollment ID: I20241107002374
Medical Identifiers
Medical identifiers for Camille Hana Nawawi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699265975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95030849 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centro De Salud De La Comunidad De San Ysidro, Inc | 6901709435 | 254 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Camille Hana Nawawi allows following entities to bill medicare on her behalf.
| Entity Name | Regents Of The University Of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508968967
PECOS PAC ID: 3577476761
Enrollment ID: O20031203000756 |
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| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124782685
PECOS PAC ID: 6901709435
Enrollment ID: O20040130000711 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Camille Hana Nawawi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Camille Hana Nawawi, PMHNP-BC
3835 N Freeway Blvd Ste 100,
Sacramento, CA 95834-1954
Ph: () - | Camille Hana Nawawi, PMHNP-BC
8950 Villa La Jolla Dr Ste C217,
La Jolla, CA 92037-1712
Ph: (855) 501-1004 |
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