Individual provider Active NPI

Jose Camacho, MD

  • Clinical Genetics (M.D.) Physician
  • San Francisco, CA
National Provider Identifier
1255548327
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
C43174 Issued in CA
Practice address
1825 4TH St FL 6
San Francisco, CA 94143-2350
Phone
(415) 476-2757
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C43174 CA
Clinical Genetics (M.D.) Physician 207SG0201X C43174 CA Primary

Addresses

Primary practice location

1825 4TH St FL 6
San Francisco, CA 94143-2350

Mailing address

PO Box 495
Del Mar, CA 92014-0495
Phone (858) 837-2990

Other practice location 1

409 E Merced Ave Ste A
West Covina, CA 91790-5061
Phone (858) 699-7726

Other identifiers 1

IdentifierTypeStateIssuer
00C431740MedicaidCA

Other names 1

  • Jose Angel Camacho Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513001541 CA Practitioner - Pediatric Medicine 2860482668 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Pediatrics Associates Clinical Genetics (M.D.) CurrentSince Jan 14, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 14, 2025 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jan 14, 2025 Accepting new patients
University of California San Francisco CurrentSince Jan 14, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 14, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 1, 2015 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. Pediatrics CurrentSince Sep 1, 2021 Accepting new patients
Pediatric Subspecialty Faculty, Inc. Pediatrics Past Accepting new patients

Locations

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

25865 Barton Rd
Loma Linda, CA 92354

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Interoperability endpoints

  • Direct secure messaging: jcamacho398282@direct-ucsfmedicalcenter.org

Organizations & group practices 9

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1255548327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920140495",
            "telephone_number": "858-837-2990",
            "fax_number": "858-793-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 4TH ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432350",
            "telephone_number": "415-476-2757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 E Merced Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917905061",
            "country_code": "US",
            "telephone_number": "858-699-7726",
            "fax_number": "858-793-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C43174",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "C43174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C431740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "CAMACHO",
            "middle_name": "ANGEL",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.