Individual provider Active NPI

Erika Carmen Camez

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1376702860
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
55923 Issued in CA
Practice address
41593 Winchester Rd Ste 200
Temecula, CA 92590-4857
Phone
(760) 415-8515
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 55923 CA Primary

Addresses

Primary practice location

41593 Winchester Rd Ste 200
Temecula, CA 92590-4857

Mailing address

41593 Winchester Rd Ste 200
Temecula, CA 92590-4857
Phone (760) 415-8515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919000441 CA Practitioner - Marriage and Family Therapist 5193266013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Live Well Family Counseling ServicesGroup PAC ID 1759814452, 7 clinicians

Practice addresses (Care Compare)

41593 Winchester Rd
Suite 215
Temecula, CA 92590-4841
Phone (951) 257-8045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55923CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Family Counseling Services Marriage & Family Therapist CurrentSince Aug 20, 2024 Accepting new patients

Locations

275 W Hospitality Ln
Ste 309
San Bernardino, CA 92408
Phone (951) 257-8045

41593 Winchester Rd
Ste 215
Temecula, CA 92590
Phone (951) 257-8045

41593 Winchester Rd
Ste 200
Temecula, CA 92590
Phone (833) 262-2185

12402 Industrial Blvd
Ste A9
Victorville, CA 92395
Phone (951) 257-8045

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1376702860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41593 WINCHESTER RD STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904857",
            "telephone_number": "760-415-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41593 WINCHESTER RD STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904857",
            "telephone_number": "760-415-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMEZ",
        "first_name": "ERIKA",
        "middle_name": "CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "55923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.