Individual provider Active NPI

Caitlin Cammarano, DO

  • Anesthesiology Physician
  • Visalia, CA
National Provider Identifier
1083145783
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A16995 Issued in CA
Practice address
400 W Mineral King Ave
Visalia, CA 93291-6237
Phone
(610) 223-6843
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 20A16995 CA Primary

Addresses

Primary practice location

400 W Mineral King Ave
Visalia, CA 93291-6237

Mailing address

321 S Willaman Dr
Los Angeles, CA 90048-3357
Phone (610) 223-6843

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccamma@kdhcd.org

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
I20210615000831 CA Practitioner - Anesthesiology 3678973567 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia Col of Osteo Med, Sewanee, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Valley Medical GroupGroup PAC ID 3577465368, 104 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 440-9161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16995CAMDAddiction (Substance Use Disorder) Counselor
20A16995CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Coast Anesthesia Medical Group, Inc. Anesthesiology CurrentSince Jul 15, 2022 Accepting new patients
Monterey Anesthesia Professionals Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Pacific Valley Medical Group Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Oak Creek Anesthesia Services, Inc. Anesthesiology CurrentSince May 25, 2021 Accepting new patients

Locations

15503 Ventura Blvd
Ste 200
Encino, CA 91436
Phone (818) 788-7288

333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Interoperability endpoints

  • Direct secure messaging: ccammarano20216@direct.svmh.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1083145783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S WILLAMAN DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483357",
            "telephone_number": "610-223-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237",
            "telephone_number": "610-223-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMARANO",
        "first_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A16995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccamma@kdhcd.org",
            "affiliation": "N",
            "address_1": "400 W Mineral King Ave",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932916237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.