Individual provider Active NPI

Claire Itchon Camua, NP-C

  • Family Nurse Practitioner
  • Palm Springs, CA
National Provider Identifier
1245673177
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22831 Issued in CA
Practice address
555 S Sunrise Way Ste 217
Palm Springs, CA 92264-7869
Phone
(760) 799-5464
Fax
(855) 300-7206
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22831 CA Primary

Addresses

Primary practice location

555 S Sunrise Way Ste 217
Palm Springs, CA 92264-7869

Mailing address

3020 E Vista Chino
Palm Springs, CA 92262-5454
Phone (760) 799-5464

Other names 1

  • Claire Reyes Itchon Former name

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angels Home Health Corporation CurrentSince Oct 16, 2022 Accepting new patients
Cri Enterprises, Inc. Current Accepting new patients
Angel Hospice Providers Inc PastSince Jul 1, 2016 Accepting new patients

Locations

555 S Sunrise Way
Ste 217
Palm Springs, CA 92264
Phone (760) 656-8912

Organizations & group practices 3

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1245673177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E VISTA CHINO",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625454",
            "telephone_number": "760-799-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S SUNRISE WAY STE 217",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647869",
            "telephone_number": "760-799-5464",
            "fax_number": "855-300-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMUA",
        "first_name": "CLAIRE",
        "middle_name": "ITCHON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2022-10-11",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "ITCHON",
            "middle_name": "REYES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.