Active NPI
Cameron Fatemi, PT, DPT
- Physical Therapist
- Santa Monica, CA
National Provider Identifier
1174476899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305960
- Practice address
- 2020 Santa Monica Blvd Ste 401
Santa Monica, CA 90404-2023 - Phone
- (310) 829-8724
- NPI assigned
- Feb 20, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 305960 | CA | Primary |
Addresses
Primary practice location
2020 Santa Monica Blvd Ste 401
Santa Monica, CA 90404-2023
Mailing address
6148 Barons Way
Oak Park, CA 91377-5850
Phone (818) 943-7087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305960 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1174476899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6148 BARONS WAY",
"city": "OAK PARK",
"state": "CA",
"postal_code": "913775850",
"telephone_number": "818-943-7087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 SANTA MONICA BLVD STE 401",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042023",
"telephone_number": "310-829-8724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATEMI",
"first_name": "CAMERON",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.