Camillo Candido, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4200 Mary Gates Memorial Dr NE Apt V259
Seattle, WA 98105-5659

Phone

(360) 229-2834

NPI assigned

Apr 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Cam Candido Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1306308283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MARY GATES MEMORIAL DR NE APT V259",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055659",
            "telephone_number": "360-229-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MARY GATES MEMORIAL DR NE APT V259",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055659",
            "telephone_number": "360-229-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDIDO",
        "first_name": "CAMILLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAM",
            "last_name": "CANDIDO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cancer Cushion PLLC
• Cancer Treatment Centers of America Professional Corporation of Washin
• Alejandro Jose Candelario, M.D.
• Nellowe Calderon Candelario, M.D.
• Eric Candell, MA, LMHC
• Carmen Caneda-D'Ambrosi, PH.D.
• Angie Mt Canelli, MA, LMHC NCC
• John Ez Caner Sr., MD
• Erin Canete, MA LMFT
• Katy Elizabeth Canete, L.M.P.

• Student in an Organized Health Care Education/Training Program in Seattle, WA
• Providers in Seattle, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.