Individual provider Active NPI

Camille Chano, MD

  • Family Medicine Physician
  • Rialto, CA
National Provider Identifier
1083029425
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A166336 Issued in CA
Practice address
1851 N Riverside Ave
Rialto, CA 92376-8069
Phone
(909) 874-2371
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A166336 CA Primary

Addresses

Primary practice location

1851 N Riverside Ave
Rialto, CA 92376-8069

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

5451 Walnut Ave
Chino, CA 91710-2609
Phone (909) 464-8600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310000910 CA Practitioner - Family Practice 3476969882 Reassigns benefits to 3 organizations
Practice locations: Bishop, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Medical Group IncGroup PAC ID 4880667609, 19 clinicians

Practice addresses (Care Compare)

1851 N Riverside Ave
Rialto, CA 92376-8069
Phone (909) 421-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A166336CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C CurrentSince Feb 1, 2026 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Centers for Family Medicine GP Family Medicine Current Accepting new patients
J M Geiss DO Apc Family Medicine CurrentSince Feb 26, 2021 Accepting new patients
Pinnacle Medical Group, Inc. Family Medicine Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

81 Highland Springs Ave
Ste 101
Beaumont, CA 92223

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cchano25607@epiclp.direct-ci.com

Organizations & group practices 10

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1083029425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768069",
            "telephone_number": "909-874-2371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5451 Walnut Ave",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102609",
            "country_code": "US",
            "telephone_number": "909-464-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANO",
        "first_name": "CAMILLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A166336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.