Active NPI
Fitness360
- Allergy & Immunology (Internal Medicine) Physician
- Camarillo, CA
National Provider Identifier
1205630852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- Legal business name
- FITNESS360
- Practice address
- 1317 Del Norte Rd Ste 220a
Camarillo, CA 93010-8621 - Phone
- (805) 607-9515
- NPI assigned
- Apr 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Burboa
- Title
- Ceo
- Phone
- (805) 607-9515
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | |||
| Nutritionist | 133N00000X | |||
| Allergy & Immunology Physician | 207K00000X | |||
| Allergy Physician | 207KA0200X | |||
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | Primary | ||
| Public Health & General Preventive Medicine Physician | 2083P0901X |
Addresses
Primary practice location
1317 Del Norte Rd Ste 220a
Camarillo, CA 93010-8621
Mailing address
1574 Tamarix St
Camarillo, CA 93010-1945
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1508253634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1205630852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1574 TAMARIX ST",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930101945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 DEL NORTE RD STE 220A",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930108621",
"telephone_number": "805-607-9515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITNESS360",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-02",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "BURBOA",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-607-9515"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Allergy & Immunology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.