Active NPI
Camilo Jose Morales Acevedo, DDS
- Dentist
- Montebello, CA
National Provider Identifier
1023804200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111267
- Practice address
- 706 W Beverly Blvd Unit 201
Montebello, CA 90640-3626 - Phone
- (323) 724-1010
- NPI assigned
- Apr 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111267 | CA | Primary |
Addresses
Primary practice location
706 W Beverly Blvd Unit 201
Montebello, CA 90640-3626
Mailing address
2341 Coldwater Canyon Dr
Beverly Hills, CA 90210-1707
Phone (310) 890-9440
Other practice location 1
2800 N Main St Unit 1010
Santa Ana, CA 92705-6076
Phone (714) 862-1210
Other practice location 2
1857 E 4th St
Ontario, CA 91764-2601
Phone (909) 640-3767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acevedo Dental Office, Inc. | Past | Accepting new patients | |
| Acevedo Dental Corp | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Ontario, CA
- NPI 1497309306
-
- General Practice Dentistry
- Santa Ana, CA
- NPI 1790201762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1023804200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2341 COLDWATER CANYON DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902101707",
"telephone_number": "310-890-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 W BEVERLY BLVD UNIT 201",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403626",
"telephone_number": "323-724-1010"
}
],
"practiceLocations": [
{
"address_1": "2800 N Main St Unit 1010",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927056076",
"country_code": "US",
"telephone_number": "714-862-1210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1857 E 4th St",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917642601",
"country_code": "US",
"telephone_number": "909-640-3767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORALES ACEVEDO",
"first_name": "CAMILO",
"middle_name": "JOSE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-16",
"last_updated": "2025-04-16",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.