Camille Amparo
Individual provider Active NPI Physician Assistant · Los Angeles, CA
NPI 1104567932 · NPPES record last updated Sep 12, 2022
Key facts
- NPI
- 1104567932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA61188 (CA)
- Practice address
- 1520 San Pablo St Ste 2000
Los Angeles, CA 90033-5322 - Phone
- (323) 442-5860
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Usc Care Medical Group Inc
Practice addresses (Care Compare)
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100
1818 Verdugo Blvd
Suite 300
Glendale, CA 91208-1438
Phone (818) 949-7380
Hospital & facility affiliations
- Usc Verdugo Hills Hospital
- Keck Hospital of Usc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220831002467 | CA | Practitioner - Physician Assistant | 3971987504 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61188 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current |
Accepting new patients | |
| Usc Care Medical Group, Inc | Current |
Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1520 San Pablo St
Ste 2000
Los Angeles, CA 90033
Phone (323) 442-5830
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61188 | CA | Yes |
Addresses
Primary practice location
1520 San Pablo St Ste 2000
Los Angeles, CA 90033-5322
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5860
Other providers in Los Angeles, CA
- Tiffany Amos
- Victoria Noel Amoscato
- Dawit Aberra Amossa
- Pierre Jamil Amour
- Rama Mezyad Amourah
- Elisa Amparo
- Reyna Maleny Amparo
- Mary Jeanne Ampilalcid
- Ample Joy ABA Consulting Services, LLC
- Amplified Voices Speech Therapy, Inc.
All providers in Los Angeles, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.