Javier Martin Panameno Campos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 26127 Issued in CA

Practice address

255 Terracina Blvd
Suite 204
Redlands, CA 92373-4870

Phone

(909) 798-1763

Fax

(909) 307-6405

NPI assigned

Aug 10, 2012

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

Other names 1

• Mr. Javier Martin Panameno Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Department of State Hospitals

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Inlandpsych Redlands Inc

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1053575738
  Medicare reassignment NPD
• Department of State Hospitals

  • Psychiatric Hospital
  • Patton, CA
  • NPI 1043249204
  NPD
• Department of State Hospitals

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD
• Inlandpsych Redlands Inc

  • Psychiatry Physician
  • Beaumont, CA
  • NPI 1649589219
  NPD

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1255688032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16025 PEACH TREE LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923371010",
            "telephone_number": "909-904-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD",
            "address_2": "SUITE 204",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-798-1763",
            "fax_number": "909-307-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAMENO CAMPOS",
        "first_name": "JAVIER",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 26127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVIER",
            "last_name": "PANAMENO",
            "middle_name": "MARTIN",
            "prefix": "MR.",
            "credential": "LCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joyce Palmese, LMFT
• Charles Francis Palmieri
• Lisa Ann Palmisano, OT
• Shannon Palmowski
• Kunal Palta, DPT
• Augustine Panchoo, PSYD
• Edelweiss Pandjaitan, SLP
• Ashley Panganiban
• Olivia M Papacostea, M.D.
• Paradigm Physical Therapy & Wellness PC

• Clinical Social Worker in Redlands, CA
• Providers in Redlands, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.