Individual provider Active NPI

Camilla Niles Van Voorhees, M.D.

  • Psychiatry Physician
  • Los Altos, CA
National Provider Identifier
1366710543
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G79371 Issued in CA
Practice address
1000 Fremont Ave Ste 270
Los Altos, CA 94024-6058
Phone
(650) 941-4484
NPI assigned
Dec 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G79371 CA Primary

Addresses

Primary practice location

1000 Fremont Ave Ste 270
Los Altos, CA 94024-6058

Mailing address

1000 Fremont Ave Ste 270
Los Altos, CA 94024-6058
Phone (650) 941-4484

Other names 1

  • Dr. Camilla Adele Van Voorhees Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G79371CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1366710543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 270",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246058",
            "telephone_number": "650-941-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 270",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246058",
            "telephone_number": "650-941-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VOORHEES",
        "first_name": "CAMILLA",
        "middle_name": "NILES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G79371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLA",
            "last_name": "VAN VOORHEES",
            "middle_name": "ADELE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 2, 2011; 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.