Individual provider Active NPI

Camilo Jose Morales Acevedo, DDS

  • Dentist
  • Montebello, CA
National Provider Identifier
1023804200
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
111267 Issued in CA
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

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Acevedo Dental Office, Inc. Past Accepting new patients
Acevedo Dental Corp PastSince Aug 6, 2019 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.

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.

Verify at the official NPI Registry.