Active NPI
Camelot LLC
Doing business as Camelot Center
- Specialist
- Los Altos, CA
National Provider Identifier
1356503908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.