Organization Active NPI

Camilla McCalmont, MD Inc

  • Dermatology Physician
  • El Cerrito, CA
National Provider Identifier
1023438561
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A482930 Issued in CA
Legal business name
CAMILLA MCCALMONT, MD INC
Practice address
6431 Fairmount Ave
Suite 3
El Cerrito, CA 94530-3655
Phone
(510) 527-8865
Fax
(510) 527-4123
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Camilla S McCalmont, MD
Title
Owner
Phone
(510) 527-8865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A482930 CA Primary

Addresses

Primary practice location

6431 Fairmount Ave
Suite 3
El Cerrito, CA 94530-3655

Mailing address

145 Hillside Ave
Piedmont, CA 94611-3904
Phone (510) 918-0224

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thm@camillamccalmont.emadirect.md Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1023438561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HILLSIDE AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113904",
            "telephone_number": "510-918-0224",
            "fax_number": "510-527-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FAIRMOUNT AVE",
            "address_2": "SUITE 3",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303655",
            "telephone_number": "510-527-8865",
            "fax_number": "510-527-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLA MCCALMONT, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "MCCALMONT",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-527-8865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A482930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thm@camillamccalmont.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6431 Fairmount Ave",
            "address_2": "Suite 3",
            "city": "El Cerrito",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945303655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.