Arsenio Cabamongan Camarillo III

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

920719330 Issued in CA

Practice address

1373 Potrero Cir
Suisun City, CA 94585-4136

Phone

(916) 755-8538

NPI assigned

Jul 25, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1194406041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 POTRERO CIR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945854136",
            "telephone_number": "916-755-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 POTRERO CIR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945854136",
            "telephone_number": "916-755-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARILLO",
        "first_name": "ARSENIO",
        "middle_name": "CABAMONGAN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "920719330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloomwell MD Medical Corporation
• Quenika R Boston
• Jennifer Briscese
• Joash Bueno, RN
• Shemaiah Bush, RBT
• Lesley Jennifer Canizalez
• Mark Carmody, DDS
• Favian Castro, RN
• Celeste Cazares
• Jacqueline Chamberlain

• Non-emergency Medical Transport (VAN) in Suisun City, CA
• Providers in Suisun City, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.