Active NPI
Cameron Grade, DC
- Radiology Chiropractor
- Saugus, CA
National Provider Identifier
1407998172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- DC15810
- Practice address
- 26111 Bouquet Canyon Rd Ste G3
Saugus, CA 91350-2670 - Phone
- (661) 254-0803
- NPI assigned
- Feb 12, 2007
- Last updated
- Feb 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | DC15810 | CA | Primary |
Addresses
Primary practice location
26111 Bouquet Canyon Rd Ste G3
Saugus, CA 91350-2670
Mailing address
26111 Bouquet Canyon Rd Ste G3
Saugus, CA 91350-2670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120329000249 | CA | Practitioner - Chiropractic | 2567622574 | Practice locations: Saugus, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
26111 Bouquet Canyon Rd
Santa Clarita, CA 91350-2670
Phone (661) 254-0771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15810 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1407998172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26111 BOUQUET CANYON RD STE G3",
"city": "SAUGUS",
"state": "CA",
"postal_code": "913502670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26111 BOUQUET CANYON RD STE G3",
"city": "SAUGUS",
"state": "CA",
"postal_code": "913502670",
"telephone_number": "661-254-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADE",
"first_name": "CAMERON",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "CA",
"license": "DC15810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saugus, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.