Active NPI
Marianne E. Camous, P.A
- Physician Assistant
- Burlingame, CA
National Provider Identifier
1326155268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14358
- Practice address
- 1663 Rollins Rd
Burlingame, CA 94010-2301 - Phone
- (650) 692-2663
- Fax
- (650) 692-2777
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14358 | CA | Primary |
Addresses
Primary practice location
1663 Rollins Rd
Burlingame, CA 94010-2301
Mailing address
129 Dolton Ave
San Carlos, CA 94070-1629
Phone (650) 704-0601
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14358 | CA | MD | Physician Assistant |
Interoperability endpoints
- marianna.camous.p47@direct.medcor.nextgenshare.com
- marianne.camous.p32@direct.medcor.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1326155268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 DOLTON AVE",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940701629",
"telephone_number": "650-704-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1663 ROLLINS RD",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940102301",
"telephone_number": "650-692-2663",
"fax_number": "650-692-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMOUS",
"first_name": "MARIANNE",
"middle_name": "E.",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
- Rubi Monserrat Calderon
- California Drive Partners D/B/a Mills Estate Villa
- California Emergency Physicians Medical Group, a Professional Corp.
- Donald A Calvo, M.D.
- Gregory A Cameron, DC
- Andria Nicolette Campos
- James Soriano Canalita, OTD, OTR/L
- Diana Canchola
- Ariel Kanani Canonizado
- Michele Anita Cantrell, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.