Individual provider Active NPI

Guillermo Camano

  • Physical Therapy Assistant
  • El Cajon, CA
National Provider Identifier
1194604520
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
51790 Issued in CA
Practice address
139 N Magnolia Ave
El Cajon, CA 92020-3903
Phone
(858) 379-0380
Fax
(877) 298-4204
NPI assigned
Aug 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 51790 CA Primary

Addresses

Primary practice location

139 N Magnolia Ave
El Cajon, CA 92020-3903

Mailing address

139 N Magnolia Ave
El Cajon, CA 92020-3903
Phone (858) 379-0380

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

LicenseStateTypeSpecialty
51790CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc PastSince Sep 3, 2025 Accepting new patients
MDRS Spine & Sport, Inc PastSince Sep 3, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1194604520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203903",
            "telephone_number": "858-379-0380",
            "fax_number": "877-298-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203903",
            "telephone_number": "858-379-0380",
            "fax_number": "877-298-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMANO",
        "first_name": "GUILLERMO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.