| Camino Health Center | |
|
30300 Camino Capistrano San Juan Capistrano CA 92675-1304 | |
| (949) 240-2030 | |
| (949) 429-7627 |
| Full Name | Camino Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 30300 Camino Capistrano, San Juan Capistrano, California |
| Authorized Official Name and Position | Debra Lynn Drew (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9492402030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camino Health Center 30300 Camino Capistrano San Juan Capistrano CA 92675-1304 Ph: (949) 240-2030 | Camino Health Center 30300 Camino Capistrano San Juan Capistrano CA 92675-1304 Ph: (949) 240-2030 |
| NPI Number | 1366560393 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/17/2015 |
| Medicare PECOS PAC ID | 2264480292 |
|---|---|
| Medicare Enrollment ID | O20050106000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366560393 | NPI | - | NPPES |
| CMM70345H | Other | CA | MEDICAL |
| W14149 | Other | CA | MEDICARE PART B |
| CMM70345H | Other | CA | CALOPTIMA |
| G91459-01 | Other | CA | DENTICAL |
| CMM70345H | Other | CA | CHDP |
| EAP70345H | Other | CA | EAPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 060000060 (California) | Primary |
| Provider Name | Firozeh Gruber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417968496 PECOS PAC ID: 5799833422 Enrollment ID: I20090506000259 |
| Provider Name | Audrey K Rocco-welch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770616716 PECOS PAC ID: 0648303032 Enrollment ID: I20100805000689 |
| Provider Name | Thuytrang Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861537656 PECOS PAC ID: 8921273095 Enrollment ID: I20111219000867 |
| Provider Name | Sergio Rodas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194869693 PECOS PAC ID: 5294901385 Enrollment ID: I20111220000240 |
| Provider Name | Velva J Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891830998 PECOS PAC ID: 8921274580 Enrollment ID: I20120103000250 |
| Provider Name | Christine Ann Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184960684 PECOS PAC ID: 2365786985 Enrollment ID: I20181207000799 |
| Provider Name | Marcus Steven Angulo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124486568 PECOS PAC ID: 4789974213 Enrollment ID: I20181207001347 |
Pacific Private Practice Network Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30230 Rancho Viejo Rd, Suite 110, San Juan Capistrano, CA 92675 Phone: 949-441-5681 Fax: 949-629-3716 | |
Apex Health Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31473 Rancho Viejo Rd Ste 103, San Juan Capistrano, CA 92675 Phone: 949-388-0315 Fax: 949-388-0316 | |
K. Mitchell Naficy Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27512 Calle Arroyo, Suite A, San Juan Capistrano, CA 92675 Phone: 949-489-0773 Fax: 949-489-9342 | |
Partners In Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32241 Camino Capistrano, Ste#105a, San Juan Capistrano, CA 92675 Phone: 949-665-5555 Fax: 949-661-8269 | |
Ross Medical Associates San Juan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32312 Camino Capistrano, San Juan Capistrano, CA 92675 Phone: 949-489-9112 Fax: 949-489-1231 | |
Robert R. Paredes, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31411 Camino Capistrano, Suite 100, San Juan Capistrano, CA 92675 Phone: 949-493-4585 Fax: 949-493-0079 |