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MIGUEL DOMINGUEZ CAMACHO M.D. NPI 1093746364


NPI Information

NPI: 1093746364
Provider Name: MIGUEL DOMINGUEZ CAMACHO, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC

PECOS Registration: Yes

Address:
4581 10TH ST
SUITE C
GUADALUPE, CA
ZIP 93434
Phone: (805) 343-5577
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Miguel Dominguez Camacho, M.D. is a family medicine in Guadalupe, CA with 40 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Miguel Dominguez Camacho, M.D. NPI is 1093746364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4581 10TH ST
SUITE C
GUADALUPE, CA
ZIP 93434-454
Phone: (805) 343-5577
Fax: (805) 343-5578

The NPI 1093746364 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA53541CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00725474OTHERCALIFORNIAMEDICARE RAILROAD GROUP MEMBER PTAN#
2G13011MEDICARE UPINCALIFORNIA
3HAP70986FOTHERCALIFORNIAFAMILY PACK
4FHC70986FMEDICAIDCALIFORNIA
5W1508MEDICARE PINCALIFORNIA
6AS193ZMEDICARE PINCALIFORNIA
700A535410MEDICAIDCALIFORNIA
8551973MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
9AS193YMEDICARE PINCALIFORNIA
10AS193XMEDICARE PINCALIFORNIA
11W1508AMEDICARE PINCALIFORNIA
12CJ5474OTHERCALIFORNIAMEDICARE RAILROAD GROUP PTAN #
13W1508BMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.