Active NPI
Marinelle Camilon
- Family Medicine Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A16764
- Practice address
- 1509 Wilson Terrace Drive
Rehab Building, Ground Floor, RM 7G03
Glendale, CA 91206-4007 - Phone
- (858) 349-6454
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 20A16764 | CA | Primary |
Addresses
Primary practice location
1509 Wilson Terrace Drive
Rehab Building, Ground Floor, RM 7G03
Glendale, CA 91206-4007
Mailing address
1509 Wilson Terrace Drive
Rehab Building, Ground Floor, RM 7G03
Glendale, CA 91206-4007
Phone (858) 349-6454
Other practice location 1
18460 Roscoe Blvd
Northridge, CA 91325-4107
Phone (818) 993-4054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 832-3311
1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 748-2411
300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (626) 898-8000
3700 S St
Lakewood, CA 90712-1419
Phone (310) 698-5452
4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 540-7676
Hospital & facility affiliations
- California Hospital Medical Center la
- Providence Little Co of Mary Med Ctr San Pedro
- Providence Little Company of Mary Med Ctr Torrance
- Usc Arcadia Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.54 of 100
- Improvement activities
- 40
- Cost
- 69.07
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Improvement activities
- 40
- Cost
- 81.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.58 of 100
- Improvement activities
- 40
- Cost
- 79.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16764 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcadia Hospitalist Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| Lakewood Hospitalist Medical Group, Inc | Single Specialty | Current | Accepting new patients |
| Palomar Hospitalist Medical Group, Inc | Single Specialty | Current | Accepting new patients |
| Merced Hospitalist Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| Ca Hospital Hospitalist Medical Group Inc | Single Specialty | Current | Accepting new patients |
Locations
300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
3700 South St
Lakewood, CA 90712
Phone (562) 424-2900
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280
15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Arcadia, CA
- NPI 1114365269
Single Specialty
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1114483146
Single Specialty
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1447003983
Single Specialty
-
- Internal Medicine Physician
- Torrance, CA
- NPI 1740141969
-
- Internal Medicine Physician
- San Pedro, CA
- NPI 1750245783
-
- Internal Medicine Physician
- Merced, CA
- NPI 1730431875
Single Specialty
-
- Hospitalist Physician
- Escondido, CA
- NPI 1801466826
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
-
- General Acute Care Hospital
- San Pedro, CA
- NPI 1497241541
-
- General Acute Care Hospital
- San Pedro, CA
- NPI 1942247291
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1023559259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 WILSON TERRACE DRIVE",
"address_2": "REHAB BUILDING, GROUND FLOOR, RM 7G03",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "858-349-6454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 WILSON TERRACE DRIVE",
"address_2": "REHAB BUILDING, GROUND FLOOR, RM 7G03",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "858-349-6454"
}
],
"practiceLocations": [
{
"address_1": "18460 Roscoe Blvd",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913254107",
"country_code": "US",
"telephone_number": "818-993-4054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMILON",
"first_name": "MARINELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2021-02-04",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "20A16764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.