Active NPI
Jimmy R Cam, LDO
- Contact Lens Fitter
- Gardena, CA
National Provider Identifier
1306963889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contact Lens Fitter
- License
- 930
- Practice address
- 1425 W Artesia Blvd
Suite # 26
Gardena, CA 90248-3231 - Phone
- (310) 323-0884
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Fitter | 156FC0801X | 930 | CA | Primary |
| Optician | 156FX1800X | D6907 | CA |
Addresses
Primary practice location
1425 W Artesia Blvd
Suite # 26
Gardena, CA 90248-3231
Mailing address
1425 W Artesia Blvd
Suite # 26
Gardena, CA 90248-3231
Phone (310) 323-0884
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DX0037630 | Medicaid | CA | |
| JO18693 | Other | CA | SPECTERA |
| 1399 | Other | CA | MEDICAL EYE SERVICES |
| 112600 | Other | CA | EYEMED |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6907 | CA | MD | Optician |
| 930 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306963889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 W ARTESIA BLVD",
"address_2": "SUITE # 26",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483231",
"telephone_number": "310-323-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W ARTESIA BLVD",
"address_2": "SUITE # 26",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483231",
"telephone_number": "310-323-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAM",
"first_name": "JIMMY",
"middle_name": "R",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "CA",
"license": "930",
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "D6907",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DX0037630",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "JO18693",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES",
"identifier": "1399",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "112600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.