Paulo Mundim Camargo, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

39943 Issued in CA

Practice address

3928 Kingswood Road
Sherman Oaks, CA 91403-5029

Phone

(310) 825-0928

Fax

(310) 206-3282

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164523114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 KINGSWOOD RD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035029",
            "telephone_number": "310-825-0928",
            "fax_number": "310-206-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 KINGSWOOD ROAD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035029",
            "telephone_number": "310-825-0928",
            "fax_number": "310-206-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARGO",
        "first_name": "PAULO",
        "middle_name": "MUNDIM",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "39943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Dermatology Institute PC
• California Wound Care
• Calmquest Foundation
• Calmquest, LLC
• Ashley Bernal Calzada, M.S., BCBA
• Joseph Camarillo, CCC-SLP
• Naama Cameron, M.S.
• Tiffany Danielle Campbell-Hartt, LMFT
• Michael John Campbell, D.C.
• Sarah Elizabeth Campbell, LCSW

• Periodontics in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.