Ric M Camarillo, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

MFC22794 Issued in CA

Practice address

20072 SW Birch St
Suite 220
Newport Beach, CA 92660-0799

Phone

(949) 851-3003

Fax

(949) 851-3010

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

• Dr. Ricardo Manuel Camarillo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316962418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST",
            "address_2": "SUITE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600794",
            "telephone_number": "949-851-3003",
            "fax_number": "949-851-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST",
            "address_2": "SUITE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600799",
            "telephone_number": "949-851-3003",
            "fax_number": "949-851-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARILLO",
        "first_name": "RIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "MFC22794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICARDO",
            "last_name": "CAMARILLO",
            "middle_name": "MANUEL",
            "prefix": "DR.",
            "credential": "PH.D., LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven Robert Callahan, M.D.
• Calmsphere, a Nursing Corporation
• Janet Calva, LEP
• Isabella Cajucom Camacho, CF-SLP
• Paris Camacho
• Camelia Aesthetics LLC
• Cameron Khavrian, MD Inc
• Coleen Camiling
• Caroline Campama Piscotty, MA
• Bruce Thomas Campbell, DDS

• Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.