Organization Active NPI

Camelot LLC

Doing business as Camelot Center

  • Specialist
  • Los Altos, CA
National Provider Identifier
1356503908
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAMELOT LLC
Doing business as
Camelot Center
Practice address
1000 Fremont Ave
Suite 155
Los Altos, CA 94024-6093
Phone
(650) 949-3332
NPI assigned
Jun 25, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Ms. Michal Rinkevich, B.S., CMT
Title
Founder, Therapist, Educator
Phone
(650) 949-3332

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Nutritionist 133N00000X NU
Acupuncturist 171100000X NU
Specialist 174400000X NU Primary
Reflexologist 173C00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1000 Fremont Ave
Suite 155
Los Altos, CA 94024-6093

Mailing address

1000 Fremont Ave
Suite 155
Los Altos, CA 94024-6093
Phone (650) 949-3332

Other names 1

  • Camelot Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1356503908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE",
            "address_2": "SUITE 155",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246093",
            "telephone_number": "650-949-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE",
            "address_2": "SUITE 155",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246093",
            "telephone_number": "650-949-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "RINKEVICH",
        "authorized_official_first_name": "MICHAL",
        "authorized_official_title_or_position": "FOUNDER, THERAPIST, EDUCATOR",
        "authorized_official_telephone_number": "650-949-3332",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S., CMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.