CAMERON PARK REHAB NPI 1770294928

NPI Information

  • NPI: 1770294928
  • Provider Name: CAMERON PARK REHAB
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 4120 CAMERON PARK DR STE 403
    CAMERON PARK, CA
    ZIP 95682
  • Phone: (310) 343-8684

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NPI Details

CAMERON PARK REHAB is a rehabilitation and substance use disorder clinic center in Cameron Park, CA. CAMERON PARK REHAB NPI is 1770294928. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4120 CAMERON PARK DR STE 403
CAMERON PARK, CA
ZIP 95682-287
Phone: (310) 343-8684

The provider's authorized official is Shaina Donner .
The authorized official title is Manager and has the following contact phone number (310) 343-8684.

The enumeration date for this NPI number is 12/8/2022 and was last updated on 11/1/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3106H00000XMarriage & Family TherapistNo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 3/30/2025

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