Cameron Kenichi Arakaki, DO
Individual provider Active NPI Emergency Medicine Physician · San Angelo, TX
NPI 1457098246 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1457098246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- V9846 (TX)
- Practice address
- 120 E Harris Ave
San Angelo, TX 76903-5904 - Phone
- (325) 747-6741
- NPI assigned
- May 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of the Incarnate Word School of Osteo Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shannon Clinic
Practice addresses (Care Compare)
120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741
Hospital & facility affiliations
- Shannon Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250725001854 | TX | Practitioner - Emergency Medicine | 7911414974 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V9846 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon Clinic | Current |
Accepting new patients |
Locations
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | V9846 | TX | Yes |
Addresses
Primary practice location
120 E Harris Ave
San Angelo, TX 76903-5904
Mailing address
PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 747-1511
Other practice location 1
3601 4TH Street - Stop 6211
Lubbock, TX 79430
Phone (806) 743-2978
Other providers in San Angelo, TX
- Angelo Pharmacy Corp
- Angelo Physical Therapy and Wellness
- Angelo Sports Performance and Rehab LLC
- Suzen Angle
- Anson Hospital District
- Arm Associates LP
- Ashley Nicole Arms
- Christina Arp
- Bryndan Cruz Arredondo
- Cristal Alexis Arreola
All providers in San Angelo, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.