Active NPI
Christopher Peter Camilleri, M.D.
- Psychiatry Physician
- Cerritos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A72671
- Practice address
- 17707 Studebaker Rd
Cerritos, CA 90703-2640 - Phone
- (562) 402-0688
- Fax
- (562) 402-3032
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A72671 | CA | Primary |
Addresses
Primary practice location
17707 Studebaker Rd
Cerritos, CA 90703-2640
Mailing address
17707 Studebaker Rd
Cerritos, CA 90703-2640
Phone (562) 402-0688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA72671B | Other | CA | MEDICARE PPIN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients |
Locations
17707 Studebaker Rd
Cerritos, CA 90703
Phone (562) 402-0688
17707 Studebaker Rd
#150
Cerritos, CA 90703
Phone (310) 402-0688
10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837
349A E Avenue K6
Lancaster, CA 93535
Phone (661) 723-4260
522 S San Pedro St
Los Angeles, CA 90013
Phone (213) 486-4085
1720 E 120th St
Los Angeles, CA 90059
Phone (310) 668-4272
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
Interoperability endpoints
- bharath.raghukultilakmd.d1.p1@direct.jwch.nextgenshare.com
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1417977877
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, CA
- NPI 1902676075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1154419836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17707 STUDEBAKER RD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032640",
"telephone_number": "562-402-0688",
"fax_number": "562-402-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17707 STUDEBAKER RD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032640",
"telephone_number": "562-402-0688",
"fax_number": "562-402-3032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMILLERI",
"first_name": "CHRISTOPHER",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A72671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PPIN",
"identifier": "WA72671B",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.